Bottoming Out

After breast surgery, some women experience lengthened nipple-to-inframmamary fold distance due to skin stretching, and the implant dropping lower than desired. For breast implants that are bottomed out, Strattice™ Reconstructive Tissue Matrix (TM) can be used to create an "internal bra" that supports the implants and holds them in their desired location.

Implant Bottoming Out Diagram

The contour, shape, and form of the breast are affected by folds that provide gentle curvatures under and on both sides of the breasts, as well as the strength of the breast skin. When the breast skin, which provides a supportive envelope for the breast tissue, becomes thin, weak, or stretched, it will not support the weight of a breast implant. This is referred to as skin laxity or the loss of skin elasticity and can be attributed to factors such as heredity, aging, pregnancy, rapid weight changes, or multiple surgical breast procedures.

Breast skin laxity or the loss of skin elasticity can cause the breast implant to drop, with the nipple appearing to sit high on the breast. The skin below the nipple also may look stretched and disproportionate in relationship to the overall size of the breast size, giving the breast a droopy or sagging appearance.

Dr. Crispin has not been compensated for this testimonial but does serve as a paid consultant for LifeCell. The comments made by Dr. Crispin in this video reflect his own clinical experience with Strattice™ Reconstructive Tissue Matrix.

Surgical Correction

When an implant bottoms out, the natural fold (inframammary fold) under the breast which helps to provide breast shape and form will be compromised. Bottoming out is a frequent reason for breast revision surgery using
Strattice™ TM. When used to correct bottoming out, Strattice™ TM is attached internally to the inframammary fold and chest muscle, creating an "internal bra" that supports the breast implant and helps to maintain the position of the implant.

Implant Bottoming Out Illustration

For more information on breast augmentation revision using Strattice™ TM, request information about the product.

Breast Surgeries