“Bottoming Out” or Implant Displacement

This deformity is usually due to a surgical error of releasing the inframammary fold excessively. It can happen on one or both sides and with placement of implants over or under the muscle. The implants end up being placed too low on the chest wall and the nipples end up being positioned too high. This creates a loss of an internal support system for the implant.

Sanctuary Plastic Surgery

Procedure Details

The patient above visited our plastic surgeons to address older implants that were showing a stretch deformity in both breasts. She desired natural looking breasts and no additional scarring. She underwent neopectoral pocket creation , placement or Mentor high profile 550cc implants and Strattice tissue matrix. The Strattice tissue matrix acts as an internal bra, holding the breast up. The result was natural looking, symmetrical breasts.

Correction involves excising a piece of the capsule and doing a layered closure using a Strattice Reconstructive Tissue Matrix, an “internal bra” to provide additional support to the implant. This “internal bra” is an acellular reconstructive tissue matrix designed to support tissue regeneration. It helps control the breast implant location, defines the breast shape and prevents bottoming out in Boca Raton.

Dr. Pozner usually will use Allergan – Natrelle – Inspira implants. We use 3 types of internal mesh – Galaflex, Galaform for normal mastopexies and support & Strattice for capsular contracture. Surgical times vary from 1 to 3 hours and recovery is usually quick. Postoperative taping and use of an underwire bra is essential for about 6 weeks. Refer to our postoperative recommendations for more details on recovery time.

Sanctuary Plastic Surgery

What to Expect During Recovery?

Breast revisionary surgery is done on an outpatient basis and you should arrange for someone to drive you home after your surgery and stay with you overnight. There will be some pain and swelling for a couple of days after surgery, which varies depending upon what is done. You will have prescription pain medication to help you stay comfortable in the early stages of healing. Soreness and swelling may last up to several weeks.

You will be seen the next day in the office and the surgical wrap removed. You will be placed in a soft bra (we provide). After you return you may shower and replace the bra provided. You will be seen a few days later for a follow-up to assess healing Wear the bra provided until our staff says otherwise. You will be placed in an underwire bra to support the fold by our staff. You may be asked to bring in a few of your old underwire bras to assess fit. Don’t buy new bras until we recommend them.

Here is a general timeline of breast lift recovery:

  • 1 week before you can return to work (depending on your job)
  • 4 days or so to resume driving
  • You may resume brisk walking 48 hours after surgery and more intense cardio 1-2 weeks after surgery. Dr. Pozner will give you further exercise instructions depending upon the procedure performed and healing.
  • Golf and tennis may be resumed about 6 weeks after surgery
  • You will wear an underwire bra for about 3 months night and day after we place it
Sanctuary Plastic Surgery

Schedule Your Consultation

We would love to talk more with you about your own personalized treatment at Sanctuary Plastic Surgery. With your own private consultation, our team of extraordinarily skilled and dedicated plastic surgeons will be able to recommend the right treatment plans for your unique goals and concerns. With offices in Boca Raton and Palm Beach Gardens, men and women in Florida can achieve the most natural and elegant results. Call today to schedule your consultation.

Sanctuary Plastic Surgery
Sanctuary Plastic Surgery

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