Breast Augmentation & Breast Implant Information Web - Frequently Asked Questions

Bottoming Out? Also known as implant displacement An implant pocket created by a plastic surgeon in an above muscular placement or in a partial submuscular placement can fail. When this happens the loss of tissue support at the bottom half of the breast can allow the breast implant to move downward on the chest, gradually lowering the natural bottom (crease fold) of the breast. Although in most cases, an adequately created pocket in above or partially below muscle placement can prevent this from happening in the first place, some doctors avoid this condition with full sub-muscular coverage. Full coverage involves placing the implant not only below the pectoralis muscle but also under the abdominus rectus fascia and serratus muscles. Bottoming out can be repaired by recreating or restoring the pocket with permanent sutures. Here are photo examples of bottoming out and correction of the condition. Example 1 Example 2 Example 3 Example 4 Updated: 01/17/07

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