What Are Bottoming Out Implants?

Bottoming-out implants occur when either one or both breast implants have descended too low on the chest. In this condition, the breast implant has moved below the breast crease, making the breast appear “bottom heavy” and the nipple moves up too high.

What causes bottoming out?

• There are a variety of things that can cause bottoming out implants:
• Can occur naturally over time due to the weight of the implant.
• Very large implants in a patient with small, high breasts may have no place to fill other than below the breast pocket, causing the bottoming out.
• Heavy lifting and strenuous exercises are other causes.

What are the symptoms of bottoming out?

Generally, there is no pain associated with bottoming out. Patients become aware that their implants have bottomed out just from their appearance. If the incisions for your implants were made at the breast crease, you may see that the scar now appearing on the mid-to-lower part of the breast. You will also see that your nipples are higher than before. Finally, your breast may feel “bottom heavy.”

How is bottoming out diagnosed?

If you think your breast implants are bottoming out, you should schedule an examination with Dr. Firouz. Simply by looking at the appearance of the breast implants, he will be able to tell if your breasts are in fact bottoming out and need to be repaired.

How is bottoming out repaired?

Dr. Firouz uses an innovative approach to repair bottoming out breast implants. Unlike previous surgical approaches that left patients with a painful recovery, Dr. Firouz’s technique yields better results and a much quicker and easier recovery. In order to repair bottoming-out implants, Dr. Firouz will either close the pocket with internal sutures or restore and support the breast pocket using Strattice™ Reconstructive Tissue Matrix (sterile tissue derived from porcine skin), which is designed to support tissue regeneration. Strattice™ secures the implant location to reduce future migration problems. After your breast implants bottom out repair surgery, your breasts will look elevated and symmetrical again.

If you are experiencing bottoming out implants, call 310.274.4321 today to schedule your consultation with Beverly Hills breast augmentation surgeon Dr. Jimmy Firouz.