"Last year I had a breast augment that resulted in slight bottoming out. 304cc silicone submuscular. I had a revision (capsulorraphy) 3/3/16 and am noticing the same signs of bottoming out. I am wondering why this keeps happening? Is it because I did light upper body workouts (no chest) after 6 weeks? Is it weak tissue? What are my options to keep my implants up like they were at 4 weeks post revision? I don’t like my areolas so high on the breast with such a bottom heavy look. Please advise."
DR. POUSTI: Breast Aug with Failed Revision- Why does this keep happening?
I am sorry to hear about/see the problems you are having after revisionary breast augmentation surgery. I think your concerns are appropriate; your breast implants do seem to sit quite low on your chest wall, consistent with breast implant displacement (“bottoming out”).
I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation. Whether or not to use your existing breast implants will be very simply determined; if they achieve your desired outcome in regards to breast size/shape, then more than likely you can utilize the same implants. If not, the use of the appropriate size/profile of breast implants will not be necessary to achieve your desired outcome. In my practice, this is best determined using intraoperative sizers during surgery after careful communication with the patient prior to surgery.
Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with revisionary breast surgery.
I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.