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https://vimeo.com/album/4163832/video/200659053

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0 Comment February 8, 2017

Implants Bottoming Out

If you are considering cosmetic surgery to enhance your breasts, or if you have already had plastic surgery on your breasts, there is one thing that will happen to every patient who undergoes breast augmentation with implants too big for their anatomy. This complication is called bottoming out. So what is bottoming out? An implant is typically placed at the center of the breast. With time the implant will settle, which is normal. But if the patient has an implant that is very big and heavy, or they have poor skin elasticity, the implant will continue to descend with time. In this diagram, you see where the implant was placed during surgery. The implant is right at the center of the breast. With time, the implant will descend. This increases the distance between the nipple and the inframammary fold.

The other reason for implants bottoming out is poor skin tone. The internal structures of the breast can be damaged by time, genetics, smoking, previous surgery, and thinning of the breast tissue, among other things. The implant has some weight and the skin is holding the implant in place; if skin elasticity is poor, the implant’s weight stretches the skin over time, allowing the implant to descend into an incorrect anatomical place. In this picture, you can see the patient with an implant in the right anatomical place, right at the middle of the breast. In this next picture, you see how the breast has bottomed out with loss of fullness on top, resulting in a more prominent inferior pole of the breast.

So, choosing the right breast implant for you is essential to get the best results and also to avoid complications like implants bottoming out after the surgery.

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