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Old 12-14-2011, 08:59 PM   #1
 
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Question Can bottoming out be stopped?

So I've been afraid my right side is starting to bottom out... It dropped right away is what my ps said... But the shape on the bottom has a small bulge starting. Its not slipping under my crease but seems to be stretching(not a whole lot...yet) the bottom of my breast. So I'm 5 weeks po friday...is it possible to stop,.reverse or slow this down by maybe wearing an underwire bra 24/7?
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Revision after 6 mo of healing: 6/29/12, Re-implant & scar revision(R 600cc)/bottoming out repair(L 550cc), Internal bra & benelli lift with Dr. Don Revis!
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Old 12-14-2011, 09:02 PM   #2
Pray and praying this sucker holds!
 
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I showed signs of bottoming out at around 2 weeks after surgery. My PS put me in a TIGHT (with the strap cranked up as much as possible ) underwire 24hrs a day. With a MAXIMUM 10 minutes in the shower every day (meaning bra off for that long).

I did this.. it still went south. I am not 6.5mths post op and have worn an underwire day and night since 2 weeks. Not only is my lefty severely bottomed out, my righty is now heading south too.

SO, in my opinion, if it is happening, then it is happening!
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Bottomed out 2 weeks after first surgery on the left - Bottomed out 6mth after surgery on the right.

Internal bra "broken" by head on car wreck.. Lefty is bottomed out again..
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Old 12-14-2011, 09:06 PM   #3
 
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Quote:
Originally Posted by Lilipop View Post
I showed signs of bottoming out at around 2 weeks after surgery. My PS put me in a TIGHT (with the strap cranked up as much as possible ) underwire 24hrs a day. With a MAXIMUM 10 minutes in the shower every day (meaning bra off for that long).

I did this.. it still went south. I am not 6.5mths post op and have worn an underwire day and night since 2 weeks. Not only is my lefty severely bottomed out, my righty is now heading south too.

SO, in my opinion, if it is happening, then it is happening!
Crap! Not what I wanted to hear! Are you getting a revision? Is it something the ps will cover or is it pretty much full price again!?
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Surgery date 11/11/11
Pre op 32B competition ready / 32C off season
500cc(left)/550cc(right) (different due to protruding chest wall on left side
Emergency explant of right implant 1/1/12 due to rupture/protruding implant.
Revision after 6 mo of healing: 6/29/12, Re-implant & scar revision(R 600cc)/bottoming out repair(L 550cc), Internal bra & benelli lift with Dr. Don Revis!
Post revision measuring 32DDD!
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Old 12-14-2011, 09:15 PM   #4
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I fee/ like my right is bottoming out too it just doesnt feel like my lefty I wish I could see ppls pics to see the be%inning stages
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Old 12-14-2011, 09:26 PM   #5
 
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I was bolstered for 5 weeks with a stabilizer strap under my breast to support my revision and I bottomed out right after the support was removed. It's a huge bummer. I have no obvious lump but do have rippling all along the area that headed south and that side is lower. Once I sent pics my doc told me to wear SUPER strong support and even roll up a dress sock to make theband tighter under that breast. He said no underwire. I'm having it fixed 6 months out. Paying OR anesthesia (2kish). So sorry
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Old 12-14-2011, 09:28 PM   #6
 
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Oh and he said very thin women have it happen more often. He suggested I gain 10 lbs. I'm sure you fall into a lower body fat than I category. But I think I remember you having more actual breast, I had none.
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Pre Aug 32A Post Aug 32C/32 small D..
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2nd BA/2003 Left rupture & capsulectomy
3rd BA 10/2011(please be last) correct cc and ripples
2 children- Breastfed 30 months between the 2
NEW BOOBS ARE HERE 525 cc sili unders

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Old 12-15-2011, 06:19 AM   #7
 
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Bottoming out can't be reversed, but at only 5 weeks, there is still hope you can get the pocket to close where it is now by wearing a tight underwire 24/7. It's worth a shot so I wouldn't give up hope just yet.

Everyone's anatomy is different so your symptoms could be much less severe compared to the next person. If it's only slightly bulging but the crease is still where it should be, the muscle and/or tissue could just be weak in that one specific area (for whatever reason). With the right support it could possibly stabilize and if the physical appearance doesn't bother you, you could ideally avoid a revision.

At about 3 months your implants should settle and the pockets should stabilize. However, it takes up to a full year before the pockets are completely healed. Only time will tell if they will get any worse.

Hope that helps and praying that it STOPS right where it is now!
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Old 12-15-2011, 06:40 AM   #8
 
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Quote:
Originally Posted by FORTUNE COOKIE View Post
Bottoming out can't be reversed, but at only 5 weeks, there is still hope you can get the pocket to close where it is now by wearing a tight underwire 24/7. It's worth a shot so I wouldn't give up hope just yet.

Everyone's anatomy is different so your symptoms could be much less severe compared to the next person. If it's only slightly bulging but the crease is still where it should be, the muscle and/or tissue could just be weak in that one specific area (for whatever reason). With the right support it could possibly stabilize and if the physical appearance doesn't bother you, you could ideally avoid a revision.

At about 3 months your implants should settle and the pockets should stabilize. However, it takes up to a full year before the pockets are completely healed. Only time will tell if they will get any worse.

Hope that helps and praying that it STOPS right where it is now!

I am praying it stops as well!! Like you said though since my cease is still where it should be maybe my skin is just a little weak at that spot? I can hope for now anyway.. I'm in my surgical bra and a sports bra (TIGHT ONE) until I can get to the store and buy some underwire bra! Thanks for the advice! I'm praying it works!! Going to send my ps pics this weekend too and see what his thoughts are... Eek!!
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Surgery date 11/11/11
Pre op 32B competition ready / 32C off season
500cc(left)/550cc(right) (different due to protruding chest wall on left side
Emergency explant of right implant 1/1/12 due to rupture/protruding implant.
Revision after 6 mo of healing: 6/29/12, Re-implant & scar revision(R 600cc)/bottoming out repair(L 550cc), Internal bra & benelli lift with Dr. Don Revis!
Post revision measuring 32DDD!
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Old 12-15-2011, 06:53 AM   #9
 
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Depending on the patients measurements going over 500cc usually are too heavy for the tissues and causes stretching especially with saline since saline behaves as a heavier implant. Patients that want larger breast have the volume they want but is short term. Going with an implant size that the tissues can handle will give a patient a nice natural look and a better long term result. The more surgery a patient has the damage occurs to the tissues. Using the "High Five Measuring System” has been published and proven to produce a great outcome but also lowers the risk of complications, including bottoming out. This technique also produces a 24 hour fast track recovery.
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Old 12-15-2011, 07:01 AM   #10
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Quote:
Originally Posted by Figure chik View Post
I am praying it stops as well!! Like you said though since my cease is still where it should be maybe my skin is just a little weak at that spot? I can hope for now anyway.. I'm in my surgical bra and a sports bra (TIGHT ONE) until I can get to the store and buy some underwire bra! Thanks for the advice! I'm praying it works!! Going to send my ps pics this weekend too and see what his thoughts are... Eek!!
Please be sure to get your surgeon involved as soon as possible. Early bottoming out is different that later bottoming out. For instance, my left bottomed out after the 3 month mark and was most likely a combination of a lowered crease and weaker tissues on that side. Early bottoming out is usually treated pretty aggressively (ie: Lollipop as an example). But just because you think something is wrong, doesn't mean that there is. We are not educated plastic surgeons. We can only offer advice and support. It is very important to get your surgeon involved and follow their recommendations. If you are not satisfied or are still concerned look for a second opinion. It is very easy to over stress and feel like we have a complication (it happens on JBI a lot), but don't let that stop your concerns. Get in to a trained professional for advice before you take action that could affect your healing.
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Old 12-15-2011, 07:14 AM   #11
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My left started to bottom out within 2 weeks (you can see in my album).

Yep, had to wait 6mths for my revision in order for the capsule to form and scar tissue - for the internal bra. I have to pay anesthesiologist and OR (around $2k). ...and yes, I am broke. It is going to really hurt us to pay for it.

I am due to go in 2nd week in January. My PS has told me he will want me to wear underwire right from the start for 3 mths day and night - lemme tell ya, I will be wearing that sucker day and night for the next 3 years never mind next 3 mths.

I can't help wondering if I aggravated it early on. I went once or twice without a bra (before I knew it was bottoming out, at this point I just thought lefty dropped faster). I also started wearing bralettes instead of sports bra. Will never know if I made it worse or not int he first couple of weeks.
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1st BA - 3rd June 2011
415cc Saline Mod Plus Unders - 30F

2nd BA - Revision 4th Jan 2012
450CC Cohesive Gel HP Unders with full internal bra - 30F/FF

Bottomed out 2 weeks after first surgery on the left - Bottomed out 6mth after surgery on the right.

Internal bra "broken" by head on car wreck.. Lefty is bottomed out again..
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Old 12-15-2011, 04:14 PM   #12
 
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Quote:
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Please be sure to get your surgeon involved as soon as possible. Early bottoming out is different that later bottoming out. For instance, my left bottomed out after the 3 month mark and was most likely a combination of a lowered crease and weaker tissues on that side. Early bottoming out is usually treated pretty aggressively (ie: Lollipop as an example). But just because you think something is wrong, doesn't mean that there is. We are not educated plastic surgeons. We can only offer advice and support. It is very important to get your surgeon involved and follow their recommendations. If you are not satisfied or are still concerned look for a second opinion. It is very easy to over stress and feel like we have a complication (it happens on JBI a lot), but don't let that stop your concerns. Get in to a trained professional for advice before you take action that could affect your healing.
I totally agree with babyfromheaven!

Just to clarify, I was in no way trying to offer my thoughts as a "diagnosis" for what is going on. That's what your PS is for. We are simply a community of women who all come together at a delicate and often stressful time to support each other with well wishes, thoughts, ideas and encouragement. I simply wanted to convey that all hope is not lost, which is sometimes how we feel when we have spent so much money and things have not turned out exactly the way we wanted. Your condition can't be compared to all other cases of bottoming out (if you even have bottoming out). Some are extremely severe.

However, at the same time, it's disheartening to see how many PSs don't actually consider this conditition to be a complication. Furthermore, some won't even admit the fact that their patients have bottoming out when it's obvious. Not to say this will be your PS Figure chik, but as babyfromheaven says, be prepared to get another opinion if you're not satisfied.

With all of that said, hopefully the right side is fine and it's just a matter of lefty catching up. In any event, good luck with everything as I completely understand this can be a stressful time.
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Old 12-15-2011, 09:24 PM   #13
 
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Thank you all so much for your advice!! I will be sending pics to my ps this weekend so we will see what his response will be. From the beginning I've thought he over dissected the pocket and he did have to lower the crease which I hear can cause this problem... Keeping my fingers crossed though and wearing some crazy tight support until I get my orders. I've also been thinking of going in to see ps here to so I can be seen in person (my ps is out of state :/) Thanks again girls and I'll let you know the outcome...
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Surgery date 11/11/11
Pre op 32B competition ready / 32C off season
500cc(left)/550cc(right) (different due to protruding chest wall on left side
Emergency explant of right implant 1/1/12 due to rupture/protruding implant.
Revision after 6 mo of healing: 6/29/12, Re-implant & scar revision(R 600cc)/bottoming out repair(L 550cc), Internal bra & benelli lift with Dr. Don Revis!
Post revision measuring 32DDD!
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