Bottoming Out After Breast Augmentation

You are finally able to rock your new implants in a bikini and your confidence goes through the roof, only for you to stand in front of a mirror and realize that one of your breasts seems to be drooping. Your surprise quickly turns into panic – you feel like your breasts should be fine because you had breast surgery a few weeks back. What you may be experiencing is bottoming out.

Bottoming out is a condition that occurs following breast augmentation whereby the implant has dropped below the crease line of your breast. It is characterized by a patient looking like they have a double bubble and a nipple that is pointing upwards. It is a condition that is more common than you think. Luckily, it can easily be taken care of through reconstructive surgery.

What Causes Bottoming Out?

Several factors may cause the unwanted condition:

1. Weak tissue and large implants

The issue with bottoming out is that it can happen during any time, with any type of implant. It is more common with larger implants as they tend to stretch the skin’s tissue too much, making it susceptible to bottoming out. Weak tissue also tends to contribute to bottoming out and can be brought about through conditions such as smoking, weight loss and use of too much steroids. Activities that do not involve wearing a bra such as exotic dancing also pose a risk. Some hobbies such as running or horseback riding, which involve bouncing up and down also increase a patient’s risk of bottoming out.

2. Error on the surgeon’s part

Bottoming out can also be as a result of a mistake on the surgeon’s part. A certified surgeon will know how to handle the crease as it is an important landmark during breast surgery. If the crease is altered in order to have an implant centred on the nipple then it may increase risks of the patient’s breast bottoming out. If the crease is lowered too much during surgery, then the patient may experience bottoming out immediately after surgery.

3. Implants over the chest muscle

Most surgeons that are inexperienced tend to make matters worse by placing implants over the chest muscles. If an implant is placed over the chest muscle, then there are higher chances of the patient bottoming out. A wider implant tends to give an impression that the breast is better centred, but over time it will begin bottoming out.

Can it Be Prevented?

A successful surgery is one whereby the implant stays within its pocket. One of the factors that you should seriously consider when having breast surgery is the surgeon chosen. The Australian Society of Plastic Surgeons has a database that includes a list of all certified surgeons that are capable of carrying out such a procedure. Before you agree to go under the knife, you may want to do a background check on your surgeon just to ensure that he/ she has the requisite experience and is certified to operate on you. If your surgery is done well from the start, then you will not experience bottoming out.

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