Bilateral Capsulorraphy after Breast Augmentation
24yoF, G0P0, 5’3’, 110lbs
Silicone Gel Mentor Moderate Plus 225cc
Preop Bra: 34AA => Postop Bra: 32C
“Bottoming out” is a potential risk of breast augmentation surgery wherein the breast implants fall too low on the chest. In this scenario, the distance between the nipple and the breast crease or inframammary fold lengthens as the implant descends. The nipples start to point upward and the scar on the lower breast may become more visible as it rides up the lower part of the breast.
“Bottoming out” may occur for a variety of reasons, most commonly because of weak tissue or tissue laxity, poor support of the implants (e.g. not wearing a bra), or choosing implants that are too large. In corrective revision surgery, the tissue supporting the implant is bolstered to create a kind of internal underwire bra, thus minimizing the risk of reoccurrence.
The before pictures were taken four months after breast augmentation surgery. The patient complained that the implants did not feel secure and noticed that the nipples started to rise on the breast. The after pictures were taken just six weeks after revision surgery. Notice that the inframammary fold or breast crease is now securely anchored to the chest to support the implants.