Risk and Complication - Bottoming-Out

Breast Augmentation :: Breast Implants :: Risk and Complication - Bottoming out

Breast Implant Risk and Complication-Bottoming Out

Bottoming-Out happened when the implants have descended too low on the chest wall causing the nipples to be too high on the breast mounds. This is due to the skin supporting the implants unable to hold or prevent the implants downward migration. Bottoming Out occurs more frequently with breast implants over or partially under the muscle, and will rarely occur with implants totally behind the muscle, especially if internal sharp or cautery dissection has been used to release and form the lower pocket.

Treatment for Bottoming out
An incision is carryout. The scar tissue at the bottom of the pocket will be rolled upward to the desired position of the new crease and and held in place with internal sutures. Larger smooth saline implants were also inserted to complete the correction. Smooth saline implants allowed for a much softer result, and it also helps in preventing the tendency toward visible rippling seen with textured saline implants.