Bottoming out is a condition whereby a breast implant slips below the natural line crease underneath the breast, as well as the nipple appears higher than where the implant has fallen. This condition is very predominant in women that have hardly any breast tissue and basically are extremely thin. Bottoming out also happens when an implant has been set above the chest muscle.
How Does Bottoming Out Occur?
Also these errors are seen more in inexperienced surgeons. Expert surgeons are proven to create an alternate sort of blunder by inserting an implant which is too large which causes stretching of skin. A pocket forms below the implant creating space for the implant to slide into.
Most cases of bottoming out are reported within a couple of months; however, if it forms later, then it might be as a result of an implant that was too heavy. It is more common in breast implants that were inserted through the periareola, inframammary and armpit incisions.
Is It Specific To One Type Of Breast Implant?
Bottoming out tear or round drop, and can happen at any kind of implant whether it is saline or gel, smooth or textured.
Can It Be Corrected?
Fortunately, bottoming out is a state that can certainly be corrected with the help of an experienced and certified surgeon. You are able to check whether your plastic surgeon is certified or not through a quick check through the database of the Australian Society of Plastic Surgeons.
Below are distinct processes which are utilized to correct bottoming out:
1. Implant Replacing: This process entails closing the pocket and replacing the implant that is old with a new one.
2. Capsulorrhaphy: This includes placing sutures in the low half of the breast. The capsule holding the implant is subsequently fixed while the location and size of the implant is fixed. This will make it sit higher on the chest.
3. Breast Lift: This is really a form of plastic surgery whereby the patient’s breast is lifted so as to give it a more youthful look. In cases like this, her skin has lost its elasticity, and if your patient’s breast has bottomed out, a breast lift will help correct the state.
For bottoming out corrective surgery will usually take anywhere between a few hours. The length of the process will depend on the amount of reconstructive work that must be done. Patients can recover anywhere between 4 to 6 weeks, and can resume their normal activities within a week of the surgery. Nevertheless, it is advised the patient avoids strenuous activities and should put on a reconstructive bra for as much as six weeks.
Bottoming out should not be cause for alarm for patients who are experiencing it. Simply contact your surgeon, and arrange for reconstructive surgery to be done. You would prefer seeking a more experienced surgeon as opposed to the surgeon who performed the initial procedure.