Sanctuary Plastic Surgery

4800 North Federal Hwy

Suite C101

Boca Raton, FL 33431

Creating Elegant Breast Enhancements Through Personalized, Board Certified Care.

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Bottoming Out

“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.

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.

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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.

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