“Bottoming out” refers to the shifting or slipping of breast implants downwards, while the breast tissue does not move. The lower part of the breast, and especially the skin, is greatly stretched by the shifting of the breast implant. This downward shift of breast volume pushes the nipple further upward into an unnatural position. Additionally, the distance between the nipple and the inframammary fold (the crease below the breast) increases.
Learn about when and under what circumstances bottoming out occurs and how a surgeon can reposition once slipped breast implants to their proper position on the following pages.
The occurrence of bottoming out after a breast surgery, such as breast augmentation, can have different causes. If the phenomenon is already noticeable a few weeks after the breast augmentation and the placement of the implants, it is likely that something did not go optimally during the breast surgery:
On the other hand, if bottoming out occurs a few years after the breast augmentation, the natural aging of the skin and thus the loss of tension in the tissue can be the cause of the downward slipping of the breast implant.
What happens if the breasts sag after breast augmentation?
Ultimately, the implant loses support from the weakening tissue structures. The muscles become weaker, and the supporting tissue slackens. The implant can no longer be held in place by its own internal forces and slips down.
Depending on the extent of the bottoming out, a correction surgery of the breasts may be the right decision.
In this case, the surgeon may choose a smaller and better-fitting implant for the existing implant pockets. In some cases, it may also be sufficient to reposition the existing breast implant, for example on the chest muscle if it was previously under the chest muscle.
It is also possible and may be necessary to remodel the implant pockets and perfectly adapt them to new or existing implants.
In addition, the surgeon can also perform a skin tightening during this breast surgery by removing excess tissue and/or skin. A reinforcement of the lower breast fold/fixation of the breast fold can also be performed or a strengthening and support of the (supporting) tissue.
The method of treatment that is appropriate in your specific case of bottoming out, whether it is indeed a bottoming out, and when each treatment step should be initiated, I will discuss as an experienced expert in plastic and aesthetic surgery with a modern practice in Munich, gladly personally with you.
In a personal appointment, I will advise you on an individual basis. Make the most of your type. I look forward to seeing you!
Are you interested in breast surgery, breast augmentation, or a thread lift in Munich? At the practice of Dr. Christian Lenz, you will receive personalized and confidential consultation tailored to your individual wishes and needs. Schedule an appointment and discover how modern aesthetic surgery combines natural results with the highest precision and safety.
We deliberately take plenty of time for non-binding initial consultations, while still ensuring that you can get an appointment quickly.
We deliberately take ample time for non-binding initial consultations in order to fully understand your requirements.
Our impressive results are not based on magic, but on scientific precision.
All breast surgeries are performed in our state-of-the-art operating rooms – for maximum safety and quality.
