What Causes Breast Implants to Bottom Out?

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Dr. Sean Kelishadi, M.D. FACS

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4/7/2020

Some women are born with naturally small breast tissue. Others may have experienced flat or sagging breasts due to pregnancy and breastfeeding. No matter your reason for choosing breast implants, board-certified plastic surgeon Dr. Sean Kelishadi helps women achieve their desired curves through breast augmentation surgery. At SSK Plastic Surgery, we perform countless procedures each year for women who want to feel more confident about their bodies.

Despite the success of most breast surgeries, some patients fear future complications with their implants. Bottoming out, or breast implant displacement, is a condition that occurs when the breast implants move out of place. This may cause the tissue to become misaligned or lopsided. Fortunately, the professionals at SSK Plastic Surgery can address all of your questions about bottoming out and more. Reach out for a private consultation in Newport Beach, CA.

Am I a candidate for breast implants?

So what is bottoming out, and are you at risk for this complication? Bottoming out occurs when a breast implant loses support, or when the underlying muscle is too weak to hold it in place. The implant may start to sink down on the chest as a result. The most common cause of bottoming out is a lack of elasticity in the breast tissue due to dramatic weight loss, pregnancy, and nursing, or natural aging. In some cases, however, patients experience a breast implant bottoming out because they chose the wrong size implants for their body type.

Each person has their own idea of the perfect breast appearance and shape. When considering breast augmentation surgery, it is important to choose the right implants to get an appealing result without going overboard. Since smaller implants are lighter in weight, they hold less risk of bottoming out. Larger implants are heavy and may increase your risk for displacement. This means that bigger is not always better. During your consultation at SSK Plastic Surgery, we can help determine your candidacy for surgery and let you know if your vision is realistic in terms of size and proportion.

How does the procedure work?

Patients will get to choose between silicone gel or saline breast implants to increase breast size or restore lost volume. Dr. Kelishadi can review the pros and cons of each material during the consultation. During surgery, implants are placed either in front of or behind the pectoralis muscle. Placement is also chosen based on the patient’s unique needs and the desired end result. We will continue to monitor your progress after surgery and make sure the healing is going as planned with no complications. With the advanced tools and techniques used at SSK Plastic Surgery, patients can return to their normal schedule after surgery within a few weeks.

What are the symptoms of bottoming out?

Bottoming out may occur years after the recovery process has ended. As we stated earlier, patients with implants that are too large are at higher risk for a breast implant bottoming out. Symptoms include a loss of volume in the upper breast, increased volume in the lower breast, an upward-pointing nipple, or thinning skin under the breast. The best way to protect against bottoming out in the future is to make sure the implants are properly positioned from the beginning. Seek help from a qualified and experienced plastic surgeon to ensure the best results. This is why Dr. Kelishadi is one of the leaders for local breast implant procedures in Newport Beach, CA.

What happens if my breast implants dropped too much?

If you had breast augmentation surgery and your breast implants dropped too much, it is essential to reach out to SSK Plastic Surgery right away for an evaluation. We will be able to determine the extensiveness of your condition and make sure there are no other underlying issues. The only option to correct breast implant displacement is through a revision surgery at our office. In this procedure, the implants can be removed and replaced with smaller options and adjusted for a full and perky appearance. No matter your needs, we hope to provide a high-quality service that leaves you satisfied with your results.

Learn more about breast augmentation with implants

There is a lot that goes into getting a breast augmentation procedure. When it comes to getting the right implants for your body, the staff at SSK Plastic Surgery wants you to be confident in the choices you make. It is our hope that breast augmentation allows you to achieve the fullness you want without complications. If your breast implants have dropped too much, we encourage you to reach out to our office right away. Dr. Sean Kelishadi is able to provide helpful and positive solutions without compromising your safety and appearance. Learn more about breast implant displacement and bottoming out by making an appointment in Newport Beach, CA.

Dr. Kelishadi is amazing!!! He made me feel so comfortable! I had Breast Augmentation  May 26th. I'm three months out and loving my results! I was very self conscious  about my chest. My breasts shrunk due to breast feeding. I didn't even want to change in front of my husband.  (he loved them no matter what lol) and now I am feeling so great about it! He said he's even noticed a boost in my confidence level. I love it! i feel good..i feel sexy. I never thought I  would actually go through with getting this done, but Dr. Kelishadi and his staff helped me with every step of the way. He was very caring and checked up on me after surgery. His staff was very nice as well. All so helpful! I highly recommend him!

J.V. Yelp

Words cannot describe how grateful I am to have met the SSK team.  I initially started with the med spa team at SSK and knew that I needed to do a breast augmentation consultation there as well.  From beginning to end, every single doctor/nurse and even Valerie at the front desk, involved in my procedures reached out giving clear instructions and also daily check-ins after my breast aug surgery.   Their patient care is beyond incredible.  The team gives you all of the instructions pre and post op, and they even go as far as giving you a sweet post op bag including the cutest, softest, coziest jump suit to wear into and out of the hospital on surgery day.  I am so so pleased with the team’s attention to detail, but more importantly, they are an exceptional care team you want and need!  Thank you SSK!  -Steph

S.D. Yelp

I recently had a breast revision/augmentation with a lift by Dr Kelishadi and I couldn’t have asked for a better surgeon! He is known as the King of Cleavage and definitely lives up to the name. His staff is friendly, professional, and prompt to answer calls and respond to emails. It was also super nice and convenient having Dr Sherry as part of the team helping with all the medications ordered. On my pre op visit, I was given a bag with all the medications I would need for my surgery and recovery. Dr Sherry would text and make sure I didn’t have any questions which was so appreciated. After my surgery, Dr Kelishadi would call and check in to make sure I was doing well. If I had a questions or concerns, Dr Kelishadi would promptly call and answer all the questions I had. He is genuinely a great person and an amazing Surgeon that I would highly recommend.

R.N. Yelp

I recently underwent a transformative experience at SSK Plastic Surgery, having a tummy tuck, muscle repair, and liposuction in the flanks and back. Being a mom to a 10 month old, I was pretty anxious about this procedure but right from my initial consultation, I was confident that I was in the hands of professionals who truly care. Now, just 3 days post-op, I caught a glimpse of my results and I’m beyond thrilled! Dr. Kalishadi’s skillful work has exceeded my expectations.On the day of the surgery, the entire team’s kindness helped alleviate any pre-surgery jitters. Dr. Kalishadi went above and beyond by personally reaching out to check on my recovery. Overall, my experience has been nothing short of amazing, and I couldn’t have chosen a better place for my procedure. I wholeheartedly recommend SSK Plastic Surgery to anyone seeking outstanding results and genuine care. Also shout out to Dr. Sherry, Valerie and Brianna who were also lovely! Thank you all so much!

L.G. Yelp

I recently underwent a breast revision procedure at SSK Plastic Surgery, and I must say that my experience far exceeded my expectations.  From start to finish, the entire journey was seamless, and I am absolutely thrilled with the results.  Here’s why I would wholeheartedly recommend Dr. Kelishadi for anyone considering breast revision: Dr. Kelishadi is an exceptional plastic surgeon.  From the initial consultation to the post-surgery follow-ups, Dr. Kelishadi displayed remarkable expertise and a genuine care for my well-being.  He took the time to listen to and provided me with detailed explanations of the procedure.  The entire team at SSK Plastic Surgery was welcoming, friendly and professional.  They made me feel comfortable throughout the entire process, and their knowledge and expertise to my needs were remarkable.  One aspect that truly impressed me was the personalized approach they took throughout the entire journey.  I even worked with Dr. Sherrie for my hormones prior to surgery and needless to say I feel much better now.  I felt that she too was invested in my overall health.  Lastly, when it came to deciding the appropriate size for my revision, I had to place my trust in Dr. Kelishadi’s expertise and technique.  I discussed my desired goals with him, and he carefully assessed my body proportions, existing breast tissue and overall aesthetic balance.  Although I had initial apprehension about relinquishing control over to the size decision, I am thrilled to say that I couldn’t be happier with the outcome.  The size chosen by Dr. Kelishadi was absolutely perfect!  I would highly recommend SSK Plastic Surgery!

D.V. Yelp

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