weak ligaments? plz help!

[2lucky]

hi dr. pelletiere! ok...i was wondering if someone could have such weak ligaments that placing the implants over or under the muscle would have trouble not bottoming out. is that what causes bottoming out?...weak ligaments? also how complicated is it to have overs placed under and does it effect the healing afterwards. i am 28 yrs, 5'5'', 110lbs, and am a mother of 4. i was a 34a, now im a 34c. before my breast augmentation my breast were VERY saggy and thin-like(if that makes sense). now i feel like i am all skin & bones up top and then BOOM...their there. there kinda low, and there is no graduation(slant) there because theres little tissue above the implants. would it be worth it to reoperate if thats the only thing i dont like? could it be successful with weak ligaments? please help! i do not know what to do. thank you!

[Dr. Pelletiere]

A weakness of ligaments should have nothing to do with bottoming out, since there are no true ligaments at the inframammary fold where the breasts should sit. Bottoming out occurs if the implants push past the natural fold, either on their own or if the pocket is dissected too low. It sounds like the implants sit low on your chest. This may be anatomically normal ( some women have breasts that just sit lower on their chest wall as compared to others), or the implants may have dropped too low. Changing to submuscular can help mask the implant in the superior pole, providing more of a natural shape. The recovery from changing to the submuscular plane can be just like the original surgery to some degree, since you need the muscle to stretch out. It also depends on what type of implant you have. If it is a HP, then changing to a Mod plus or moderate can help. If it is saline, it may be filled too much, casuing the implant to be rounder. I would address all these things with your surgeon and see what he/she says.