Breast Implants Bottoming Out Correction Dallas

Bottoming Out after Breast Augmentation

The Art of Breast Revision by Dr. Robert Schwartz

You’ve spent months, maybe years waiting for the results of your breast augmentation. Before going into the operating room, you carefully considered every facet of your surgery from the size and shape of your breast implants to the time and date of surgery. As you heal, you notice that there’s something off about your new breasts. Could the implants have moved down? Unfortunately, yes. This problem is known as “bottoming out”.

Many Dallas patients are paralyzed with indecision after recognizing a problem with their implants. Should they return to the plastic surgeon who botched their procedure or risk going to someone else who might make it worse? The solution, a trusted plastic surgeon with experience correcting bottoming out: Dr. Robert Schwartz.

Dr. Schwartz carefully evaluates the severity of bottoming out to understand how to correct it. Bottoming out is a continuum that depends on the distance between the nipple and breast crease and patient’s perception of an ideal breast. Some Dallas patients tolerate a larger degree of bottoming out than others and are fine with it. Other patients are unhappy even with the slightest displacement of their implant. The end result of your breast revision surgery is pretty breasts that meet your ideal.

Most Dallas patients who require corrective surgery for bottoming come in if they notice that one of their breasts is noticeably lower than the other, their nipples point upwards instead of forward and are positioned high on the breast, or that their breasts are descending. These problems can be the result of surgical errors by inexperienced surgeons who don’t truly understand your breast anatomy.

Breast augmentation surgery should be tailored to each patient’s body type and distinct breast shape. When the breast pocket is too large, it can cause the implant to shift and descend. Alternately your plastic surgeon may select an implant size that is too large to be supported by the tissue underneath. Both situations are caused by your plastic surgeon’s failure. The correction? Changing the size of the breast pocket.

A capsulorrhaphy is a revision technique to correct bottoming out by suturing the breast pocket incision. This secures the implant within the breast pocket, eliminating the descent. Most Dallas patients recover quickly from this procedure and may want to resume their normal activities too soon after surgery. Dr. Schwartz recommends limiting activities until he is convinced the surgical site has healed and can support the implant.

This type of revision requires a lot of experience and may be done by switching implant position or using various artificial support materials to strengthen the pocket itself. Dr. Schwartz prefers to create support materials using your own scar tissue which results in a lower cost, no artificial materials and works extremely well. Sometimes a mini breast lift is performed under the breast to remove excess skin. However, no two cases are alike and a careful diagnosis is required to find the best technique (or combination of techniques) to most reliably fix the problem.

Dr. Robert Schwartz has corrected hundreds of bottoming out problems for patients in Dallas. His approach to the problem is thorough assessment during your consultation and in the operating room. By determining the appropriate distance between nipple and breast crease, Dr. Schwartz will reposition your breasts so that your nipples are parallel to the crease, and the upper pole is full. The aesthetic ideal for breasts: balanced and proportional. That is the art of breast revision by Dr. Robert Schwartz.

For more information about breast revision surgery for bottoming out, contact our office at (888) 800-8300.