Breast Surgery Mega-Site by Rebecca

The Original Breast Surgery Mega Site, with the Top Breast Surgeons,
before and after photos, breast implant info, breast lift surgery,
breast reconstruction and more since 1997!

Breast Reconstruction Surgery
Breast Augmentation PhotosBefore and After Photos & Info

Symmastia - Bottoming Out - Tuberous Breasts
Lateral Displacement
- Inverted Nipple/Nipple Repair

Breast Implant Revision and Redo Surgery

Breast Reconstruction Options - Breast Recontruction Resources - Areola Reduction
Other Breast Deformaties

Breast Implant Corrections

Breast Implant Pocket Correction  

Implant mal-position occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).

Bottoming Out Repair & Revision

Bottoming out is inferior migration of the breast implants. This causes the nipple areola to appear too high on the breasts. Also, the distance from the areola to the breast crease is too great. This is corrected by “raising” the inframammary fold crease using internal sutures. This is done after careful measurements are made from the areola to the “new” inframammary crease.

breast reconstruction surgery Bottoming out
 
This 25 year old patient from Palm Desert, CA had her first breast augmentation surgery performed in Mexico. A few months after getting her breast implants, she noticed that she had developed symmastia (the implants were touching down the mid-line) and her implants were bottoming out. She had a uni-boob (as some call it). The patient was extremely upset about the results and worried about having revisionary surgery. She found Dr. Pousti through her sister who had surgery and was very pleased with her results. She had bottoming out of both breast implants, encapsulation of both sides (left > right), and the areola were displaced laterally on both sides. This patient is ONLY 3 months out of surgery so there is still some bruising and swelling but we can see what an amazing result she achieved. This patient chose to have silicone gel implants (575cc on the left and 533cc on the right). She is VERY HAPPY with her results. 
This 22 year old patient was not happy with the shape of her breasts after her first breast augmentation.  The implants had bottomed out. She traveled from Boston, Massachusetts to have Dr. Pousti take care of her breast augmentation revision. She is very happy with her results. She has a 390cc saline implant on the left and a 370cc saline implant on the right.
breast reconstruction surgery breast reconstruction surgery
breast reconstruction surgery breast reconstruction surgery
This 23-year-old patient from Corona CA had her first breast augmentation in 2005. She noticed her breast implants "bottoming out" and came to meet Dr. Pousti regarding corrective surgery of her breast implants in 2007. Dr. Pousti performed revisionary surgery with removal and replacement of both breast implants in May of 2007 with 390cc saline implants. Dr. Pousti fixed the position of the pocket so that the breast implants have a natural look to them.  She is 1-month post op revisionary breast augmentation surgery and she loves her results. 
Symptoms of Bottoming Out
Most patients report that they have a hanging or heavy sensation because of lack of support for the implant. This may also be accompanied by a mild discomfort or a real pain. Rippling may be present as well because of the thinned tissues along the bottom of the breast.

How is Bottoming Out diagnosed?

Bottoming Out is usually diagnosed by the patient or by a plastic surgeon. An experienced plastic surgeon should be able to diagnose Bottoming Out from photos alone.

When diagnosing yourself, in addition to the heavy or uncomfortable feeling, you may also notice a worsening of your implant position in relation to your nipple position. This may cause the appearance to be unattractive and even uncomfortable when wearing no bra. Because the implants hang too low, you may not be comfortable going braless. You may need to wear a pushup bra to correctly position your implants or to keep them from falling far apart and even into your armpits when lying down. 

Proper implant position means that the nipple is centered on the center of the breast implant. If more of the implant rests below the nipple than above the nipple, then you have Bottoming Out.

Can Bottoming Out be corrected non-surgically?

Dr. Revis has found that the Internal Bra procedure is required to correct Bottoming Out. Bottoming Out is a progressive disorder that generally gets worse over time as the effects of gravity cause the implant to sag within the tissue envelope of the breast. The heavy or uncomfortable feeling usually also worsens with progression of the Bottoming Out.

Will switching to smaller implants correct Bottoming Out?
Switching to smaller implants alone will not correct Bottoming Out. The new implants will still sink to the bottom of the pocket, taking even more volume away from the upper pole fullness. In my experience the only true, long term correction for Bottoming Out is an Internal Bra procedure.

How can Bottoming Out be corrected?

Dr. Revis has developed a special technique that has the effect of creating an Internal Bra using strong, permanent suture techniques. Using special lighted retractors, Dr. Revis expands the implant pockets (capsulotomy) superiorly and medially, creating room for the implants to be repositioned at a higher level- creating better cleavage, a more youthful shape, and improved fullness in the upper pole of the breast.

Dr. Revis then closes part of the pocket that rests laterally and inferiorly (the Internal Bra), thus preventing the implants from resting too low or falling too laterally to the sides. Dr. Revis uses permanent sutures for a long-lasting result. These sutures are carefully placed so that the suture material is never in direct contact with the implants inside the body. 

May I switch to larger implants when I have my Bottoming Out corrected? Absolutely. Approximately 40% of Internal Bra patients keep the same size implants, 40% increase the size of their implants, and the remaining 20% reduce the size of their implants. The size/weight of the implants has no relationship to the success or the long-lasting nature of the Bottoming Out correction with the Internal Bra when it is performed correctly with permanent sutures.


Bottoming-Out Photos - by Breast Reconstruction Surgeon, Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL


Breast Augmentation Photos
More Bottoming-Out Photos

Bottoming-Out Repair Photos - by Breast Reconstruction Surgeon, Dr. Jennifer Walden, Austin TX

Repair of Bottoming Out - by Breast Reconstruction Surgeon, Dr. Ciaravino, Houston & Sugarland, TX

Bottoming-Out Photos - by Breast Reconstruction Surgeon, Dr. Corbin, Beverly Hills, CA

Bottoming-Out Photos - by Breast Reconstruction Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA

Bottoming-Out Photos - by Breast Reconstruction Surgeon, Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL

Bottoming-Out Photos - by Breast Reconstruction Surgeon, Dr. Teitelbaum, Santa Monica, CA

Breast Augmentation FAQ
Bottoming-Out Info

Bottoming-Out FAQ - by Breast Reconstruction Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA

Bottoming-Out FAQ - by Breast Reconstruction Surgeon, Dr. Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL


Bottoming-Out Repair Specialists
Specialists here have received extensive positive feedback from our site visitors. Other plastic surgeons may be able to repair your breast implant deformity, please check our surgeon directory here.

California - Florida - Louisiana - Texas - Virginia


CA Bottoming out Repair Specialists

Breast Reconstruction Surgery PhotosBottoming-Out Photos - Breast Reconstruction Surgeon, Dr. Corbin, Beverly Hills, CA
Breast Reconstruction Surgery PhotosBottoming-Out Photos - Breast Reconstruction Surgeon, Dr. Teitelbaum, Santa Monica, CA
Breast Reconstruction Surgery PhotosBreast Reconstruction - Breast Reconstruction Surgeon, Dr. Teitelbaum, Santa Monica, CA


FL Bottoming out Repair Specialists

Breast Reconstruction Surgery PhotosBottoming-Out Photos - Breast Reconstruction Surgeon, Dr. Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL

Breast Augmentation FAQBottoming-Out FAQ - Breast Reconstruction Surgeon, Dr. Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL


Louisiana Bottoming out Repair Specialists

Breast Reconstruction Surgery PhotosBreast Reconstruction - The Wall Center for Plastic Surgery, Shreveport, Louisiana


TX Bottoming out Repair Specialists

Breast Reconstruction Surgery PhotosRepair of Bottoming Out - Breast Reconstruction Surgeon, Dr. Ciaravino, Houston & Sugarland, TX



VA Bottoming out Repair Specialists

Breast Reconstruction Surgery PhotosBottoming-Out Photos - Breast Reconstruction Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA

Breast Augmentation FAQBottoming-Out FAQ - Breast Reconstruction Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA


Tuberous Breasts Repair Revision & Photos

Tuberous breasts (characterized by a narrow base of the breast, a widening of the breast near the nipple-areolar complex, and a short or deficient inframammary crease).

Patients with Tuberous breasts desire to increase the fullness of the inferior pole of the breasts. The distance from the areola to the “new inframammary fold” (or breast crease) is increased using gentle dissection. Use of a breast implant can help increase the fullness of the lower poles of the breasts. This is done routinely for patients with constricted or tuberous breasts. Tuberous Breasts have a very narrow base and usually a long skin envelope. Sometimes people refer to "Tuberous Breast" shape as the shape similar to "snoopy's nose". In the most severe cases of Tuberous Breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. The patient should be aware that the final result will take months to see and that they will need to be patient.

breast reconstruction surgery breast reconstruction surgery

This is a 18 year old patient from Murrietta CA, interested in breast enlargement and found Temecula Plastic Surgeon Dr. Pousti over the internet. She was looking for a very large result. She also had some constriction of her breasts and wanted the shape to be more natural.  This patient is now 2 months post op breast augmentation with 800cc smooth round moderate profile saline implants made by the Inamed Corporation. She is very happy with her results.

breast reconstruction surgery breast reconstruction surgery

This 24 year old patient from San Diego, CA came in to meet with Dr. Pousti regarding her constricted breasts. She has tuberous (tubular) breasts deformity and wanted breast implants to correct it.  She is now about 2 months post-op correction of her tuberous breasts with 450 cc silicone gel implants made by Mentor.  

Breast Reconstruction Surgery PhotosTuberous Breast Before & After Photos - Scottsdale Center for Plastic Surgery, Scottsdale ~ Paradise Valley, Arizona

Click here for True Story Experiences on Tuberous Breasts


Breast Reconstruction Surgery Photos
More Breast Reconstruction Surgery Photos

    Lateral Displacement Reconstruction

Some breast implant patients present with lateral (outwardly) displacement of the breast implants.  This can be corrected using an internal suture technique decreasing the size of the pockets and moving the breast implants toward the midline. 

breast reconstruction surgery breast reconstruction surgery

This 30 year old patient traveled from Arizona to have Dr. Pousti correct her “bottoming out” and the “lateral displacement” of her implants (left >right). Dr. Pousti performed “markings” on the patient the night prior to surgery to assist during the operation the next day.  

breast reconstruction surgery

In the operating room, you can see how the right side has been corrected and the left has not yet been corrected.  

breast reconstruction surgery breast reconstruction surgery

The patient is only a couple of weeks post-operative revisionary breast surgery but very happy with her results. 

breast reconstruction surgery breast reconstruction surgery

breast reconstruction surgery breast reconstruction surgery

Breast Reconstruction Surgery PhotosBreast Reconstruction Advanced Aesthetic Associates, Plastic Surgeon: Dr. Repta, Phoenix & Scottsdale, AZ

Breast Reconstruction Surgery PhotosBreast Reconstruction Plastic Surgeon: Dr. Jennifer Walden, Austin TX

Breast Reconstruction Surgery PhotosBreast Asymmety  - Plastic Surgery of the Carolinas, Columbia, SC


Breast Reconstruction Surgery Photos
More Breast Reconstruction Surgery Photos

Breast Reconstruction Surgery Photos
Nipple Repair Surgery Photos

Inverted Nipples Photos - by The Plastic Surgery Group, Albany, NY

Nipple Correction Surgery - Breast Reconstruction Surgeon, Dr. Ganchi, Ganchi Plastic Surgery, Wayne, NJ

Nipple/Areola Surgery - by Breast Reconstruction Surgeon, Dr. Repta, Phoenix, AZ

Nipple/Areola Repair Photos - Scottsdale Center for Plastic Surgery, Scottsdale ~ Paradise Valley, Arizona

Inverted Nipple Repair Photos - by Plastic Surgeons, Dr. Wolfe & Dr. Vath, Denver & Golden, CO

Breast Reconstruction Surgery Photos
Breast Reconstruction Surgery Photos

Arizona - California - Colorado - Florida - Illinois - Indiana - Kentucky -Maryland - Minnesota - Nevada - New Jersey - New York - Ohio - Pennsylvania - South Carolina - Texas - Virginia - Washington - Wisconsin

breast reconstruction surgery photosBreast Reconstruction Photos - by Breast Reconstruction Surgeon, Dr. Repta, Phoenix, AZ
breast reconstruction surgery photosBreast Implant Reconstruction Photos - Scottsdale Center for Plastic Surgery, Scottsdale ~ Paradise Valley, Arizona

California Breast Reconstruction Photos

Breast Reconstruction Surgery PhotosBreast Reconstruction Photos - Breast Reconstruction Surgeon, Dr. Pousti* San Diego, CA
Breast Reconstruction Surgery PhotosBreast Reconstruction Photos - Breast Reconstruction Surgeon, Dr. Corbin* Beverly Hills, CA


Colorado Breast Reconstruction Photos

breast reconstruction surgery photosBreast Reduction - Plastic Surgeons, Dr. Wolfe & Dr. Vath, Center for Cosmetic Surgery, Denver, CO

Florida Plastic Surgeons Breast Reconstruction Photo Gallery

Kentucky Plastic Surgeons Breast Reconstruction Photo Gallery

Breast Reconstruction Surgery PhotosBreast Reconstruction - Calobrace Plastic Surgery Center, Louisville, KY

Maryland Plastic Surgeons Breast Reconstruction Photo Gallery

 


NY Plastic Surgeons Breast Reconstruction Photo Gallery

Breast Reconstruction Surgery PhotosBreast Reconstruction Photos - The Plastic Surgery Group* Albany, NY

PA Plastic Surgeons' Breast Reconstruction Photo Gallery

Breast Reconstruction Surgery PhotosBreast Reconstruction Photos - Breast Reconstruction Surgeon, Dr. Silberman, Doylestown, PA


SC Plastic Surgeons' Breast Reconstruction Photo Gallery

Breast Reconstruction Surgery PhotosBreast Reconstruction - Plastic Surgery of the Carolinas, Charleston, SC


Texas Plastic Surgeons' Breast Reconstruction Photo Gallery

Breast Reconstruction Surgery PhotosBreast Reconstruction Photos - Breast Reconstruction Surgeon, Dr. Pilcher, Accent Plastic Surgery PA, San Antonio, Texas

Virginia Plastic Surgeons' Breast Reconstruction Photo Gallery

 

 

Midwest Plastic Surgeons Breast Reconstruction
Before & After Photos

Breast Reconstruction Surgery PhotosBreast Reconstruction Photos - Breast Reconstruction Surgeon, Dr. Gerson, Lake Geneva, Wisconsin


Breast Reconstruction Surgery Info

Breast Reconstruction - Breast Reconstruction Surgeon, Dr. Short, The Gillian Institute for Plastic
Aesthetic and Laser Surgery, Indianapolis, IN

Breast Reconstruction Info - Breast Reconstruction Surgeon, Dr. Silberman, Doylestown, PA

Breast Reconstruction - Breast Reconstruction Surgeon, The Plastic Surgery Group* Albany, NY

Breast Reconstruction - Breast Reconstruction Surgeon, Dr. Corbin, Beverly Hills, CA

Breast Reconstruction Info - Breast Reconstruction Surgeon, Dr. David Kim, Beverly Hills Plastic Surgery, Beverly Hills, CA

Breast Reconstruction - Breast Reconstruction Surgeon, Dr. Pilcher, Accent Plastic Surgery, San Antonio, TX

Postmastectomy Breast Reconstruction - Breast Reconstruction Surgeon, Dr. Placik, Arlington Heights, IL

Breast Reconstruction - Breast Reconstruction Surgeon, Dr. Pousti San Diego, CA

Breast Reconstruction Info - Breast Reconstruction Surgeon, Dr. Rothfield, Weston Plastic Surgery, Weston, FL

Areola Reduction Info

Aerola Reduction Information - by Bay Area Plastic Surgery, San Francisco, CA

 

Specialists marked with an asterisk * have received extensive positive feedback from our site visitors. Other plastic surgeons may be able to repair your breast implant deformatiy, please check our surgeon directory here.

 

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What patients say about their breast implant surgery with our Top Breast Surgeons:

"I think that having a breast augmentation was one of the best decisions that I have ever made."

"My breast surgery went great!"

"My surgery and recovery was a breeze."

"My breasts look awesome."

"Wonderful job on my breasts."

"I am very pleased with my breast augmentation."

"I could not be happier with the outcome of my breast augmentation."

"My breasts are perfect."

"I cannot believe how amazing he has made my breasts look."

"My recovery was very easy, because of his gentle approach to breast augmentation."

"...attentive to concerns and to details of breast augmentation"

"Better than I ever expected from a breast augmentation."

"I'm very happy I chose him for my breast augmentation."

"Wonderful job on my breast augmentation."

"Breast implants are the perfect fit for my body!"

"Breast Implants gave me the lift I needed!"

Cost of Breast Implants
range from $600 for saline breast implants to $1800 for silicone breast implants

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