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Breast Implant Bottoming Out.

Breast implant bottoming out describes the condition of a breast that is bottom-heavy. The breast implant should be the target and the nipple-areolar complex should be the bull’s eye- or slightly above the mid-point. Bottoming out occurs when this balance is altered, with the breast implant lower and thus the nipple-areolar complex appears high.

How do you know if your b

breast implant revision surgery


t have bottomed out?The

The nipple-areolar complex will appear too high and well above the equator of the breast implant.lower pole of the breast from the nipple to the fold will appear un-naturally long.

  • You may notice an imbalance in your breast shape.
  • The nipple-areolar complex, in some cases, can be seen above the top of your bra line.
  • The nipples may point upward instead of centrally positioned.

What Causes Breast Implant Bottoming Out?

While the causes of breast implant bottoming out are many, some of the more common are:

  • the breast implant stretches out the tissue below the nipple-areolar complex.
  • poor quality skin which stretches easily.
  • a surgeon dissecting the lower breast pocket too low during placement of the breast implant.
  • when the breast implant is placed concurrently with a breast lift procedure (mastopexy), over time, the skin can stretch.

Treatment of bottoming out is to re-establish the bottom support of the breast. This requires breast revision surgery. The skin must be sutured down and upward so that the distance between the nipple-areolar complex and the breast fold is reduced to the appropriate length. This will hold up the breast implant to the proper position, creating a better relationship to the nipple-areolar complex. A variety of suture techniques exist to hold the implant in position.

Bottoming out of the breast means a troublesome breast deformity. Breast revision surgery requires a surgeon with in-depth knowledge and extensive experience to successfully improve the deformity.