While many prospective breast augmentation patients may have visions of sexier, skimpier brassieres on their mind and a trip to Victoria’s Secret on their post-op to-do list, breast implants actually require sufficient care and attention. Many of the breast patients we initially consult with in our practice have been misled to believe that “fake” breasts cannot sag like natural breasts and therefore , do not need complete support…….hence the new wardrobe of lacy bras that serve no function and provide no support are far from truth.
Although rare, breast implants can displace and descend below the original pocket. Also known as “bottoming out” , this complication occurs when there is not enough support to keep the implant in place. As a result, the implant drops low on the chest and causes the nipple to appear abnormally high on the breast mound. Not a natural or optimal look.
While any size or type of breast implant is susceptible to “bottoming out”, larger implants are more likely to pose this risk from shear weight. Implant placement also plays a factor in the likelihood of implant displacement. Implants placed above the muscle are more likely to descend than those placed completely under the muscle. Under the muscle provides more support with dense tissues. Also a factor is skin type as women with thin breast tissue are particularly at risk.
Bottoming Out: Prevention
The best way to prevent implant displacement is to follow your surgeon’s post-operative instructions. Support, support, support. Because smoking can damage skin elasticity, it is also advisable to refrain from nicotine and tobacco use. While it may be tempting to go bra-less, or only wear those cute lacy yet functionless bras, implants need proper support just as natural breast tissue. Cute and lacy may be used for limited amounts of time; but support bras should be a daily routine.
When performing high risk activities, breast augmentation patients should use common sense. Activities that involve excessive bouncing like running and horse-back riding will put extra pressure on breast tissue. Therefore, it is wise for patients to invest in highly supportive sports bras.
While breast implants are great for restoring youth, volume and perkiness of the breast, patients must take care of their investment so that their results remain aesthetically appealing. If you are interested in breast augmentation surgery, call 423-648-4011 and schedule your private, complimentary consultation with our Board Certified Surgeons.