"Bottoming Out" or Implant Displacement

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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.

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.

Dr. Pozner usually uses smooth implants but may use a textured implant for recurrences. 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.