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Old 03-22-2007, 10:11 PM   #1
 
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Help! Pocket revision for slight bottoming out?

Hi Ladies, I just had my 3 month post-op appt and I told the PS that I'd noticed in the last few weeks that my implants had dropped a bit too far below the nipple. I'm not sure it's bottoming out but for sure they fall too low below the nipple. It doesn't look horrible but it's not ideal. The PS agreed and said to just wait and see what happens over the next few months and if they continue to drop too low then he will fix them by reinforcing the lower side of the pocket. He doesn't want to do anything like that til one year post though. And if they stay where they are and don't drop anymore than he said it might be better to just leave them be, because it's not guaranteed that the pocket revision will hold. (I have full confidence in the PS by the way.) My question is for ladies who had a similar problem, what did your PS do to fix it and what was your final result? Is there anything I can do in the meantime to prevent full-on bottoming out? Thanks ladies, I knew I could count on you! -Luv, Laura
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Old 03-23-2007, 10:22 AM   #2
 
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Quote:
Originally Posted by Laura1974 View Post
Hi Ladies, I just had my 3 month post-op appt and I told the PS that I'd noticed in the last few weeks that my implants had dropped a bit too far below the nipple. I'm not sure it's bottoming out but for sure they fall too low below the nipple. It doesn't look horrible but it's not ideal. The PS agreed and said to just wait and see what happens over the next few months and if they continue to drop too low then he will fix them by reinforcing the lower side of the pocket. He doesn't want to do anything like that til one year post though. And if they stay where they are and don't drop anymore than he said it might be better to just leave them be, because it's not guaranteed that the pocket revision will hold. (I have full confidence in the PS by the way.) My question is for ladies who had a similar problem, what did your PS do to fix it and what was your final result? Is there anything I can do in the meantime to prevent full-on bottoming out? Thanks ladies, I knew I could count on you! -Luv, Laura
Hi Laura,
Sorry your having problems. My left breast bottomed out cuz the pocket was made too big so my ps put in permanent sutures. He said it wasn't 100% that it would hold but it has. I am 6 months now and its perfect.The recovery was a breezwe too, I was out the next day and no pain meds just a tylenol. I was just a little sore and swollen. Im very happy I had the revision!!!!!!!!!!!

For now you should wear a good support bra pretty much 24/7 to keep it from getting any worse.
Good luck to ya sweetie
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Old 08-14-2009, 12:27 PM   #3
 
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Great question and great feedback. I have appointment Monday for same concern. Gives me an idea of what PS might say since I'm only 6 weeks out.
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Old 08-14-2009, 12:31 PM   #4
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I had my bottoming out revision 5 months after my first ba. I noticed it 3 months after having the boobs and was told to keep wearing support 24/7 and that maybe scar tissue would build up and keep them from falling further but it was too far gone for me so I had surgery and had permanent sutures put in and now 10 months later I am still good!
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Old 08-16-2009, 08:01 PM   #5
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My left breast bottomed out and I had internal sutures (however I also had a lift because I had needed one and didn't get it the first time). I'm almost one year post op and all's well. Keep wearing support. The best thing is that it sounds like you have a good PS who has his eye on it and is willing to work to make it better. Best wishes! Wish I knew something more to help.
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First BA: March 2008

Done by another Surgeon in Newport Beach, CA
300 cc HP Silicone Unders
PreBA: 32A (saggy & asymmetrical from breastfeeding)
PostBA: very full 32C and then negative complications

2ndBA/Revision: August 2008
I found Dr. John Shamoun :-)

Revision for CC in right breast & bottoming out/malplacement in left
Capsulectomy on right, internal sutures & lift on left
350cc Mod+ Silicone Unders
Post Revision: small 32D with no complications. :-)
After Pregnancy: full 32D/32DD at 105 lbs!
Complication, revision photos & reviews posted in albums

Downsize: August 2012
150 Mod Unders with lift
Currently 100 lbs and need to gain weight!
Small 32C and very happy

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Old 08-16-2009, 08:03 PM   #6
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Quote:
Originally Posted by titangirl View Post
I had my bottoming out revision 5 months after my first ba. I noticed it 3 months after having the boobs and was told to keep wearing support 24/7 and that maybe scar tissue would build up and keep them from falling further but it was too far gone for me so I had surgery and had permanent sutures put in and now 10 months later I am still good!
Hi titangirl! I'm glad everything turned out well. Yay!
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5'3-1/2" 105-110 lbs 27" ribcage
First BA: March 2008

Done by another Surgeon in Newport Beach, CA
300 cc HP Silicone Unders
PreBA: 32A (saggy & asymmetrical from breastfeeding)
PostBA: very full 32C and then negative complications

2ndBA/Revision: August 2008
I found Dr. John Shamoun :-)

Revision for CC in right breast & bottoming out/malplacement in left
Capsulectomy on right, internal sutures & lift on left
350cc Mod+ Silicone Unders
Post Revision: small 32D with no complications. :-)
After Pregnancy: full 32D/32DD at 105 lbs!
Complication, revision photos & reviews posted in albums

Downsize: August 2012
150 Mod Unders with lift
Currently 100 lbs and need to gain weight!
Small 32C and very happy

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Old 08-16-2009, 08:47 PM   #7
 
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I'm in the same boat. My rightie crease is lower and I was concerned about bottoming out (I'm one month out). I can be a ***** at times, so I have been in my PS's office every week so he can keep an eye on things, lol! He didn't say yes/no about bottoming out, but did say that the crease was slightly lower and if things looked the same in 4 months, he'd do a small revision to lift up the crease. It's not too noticeable, and hubby thinks they look great as is, but I will still likely go in for the revision.

It's just so hard when we pay so much $$$ for perfect boobs, and we get anything less than perfect.... *sigh*
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Old 08-20-2009, 06:22 AM   #8
 
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I'm in the same boat, I'm almost positive in a few months (however long the doctor is going to want to wait) I will have to have revision surgery! Ugh... So discouraging, I hope your PS takes care of everything for you.
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Old 08-25-2009, 07:30 PM   #9
 
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Quote:
Originally Posted by Blondegirl View Post
Hi Laura,
Sorry your having problems. My left breast bottomed out cuz the pocket was made too big so my ps put in permanent sutures. He said it wasn't 100% that it would hold but it has. I am 6 months now and its perfect.The recovery was a breezwe too, I was out the next day and no pain meds just a tylenol. I was just a little sore and swollen. Im very happy I had the revision!!!!!!!!!!!

For now you should wear a good support bra pretty much 24/7 to keep it from getting any worse.
Good luck to ya sweetie
Hi Blondegirl,

I was wondering if the permanent sutures are visible and how much did your PS charge you to fix the problem? I just found out today my left side bottomed out slightly and, since I can't see my PS until early October (he's in a different state), I have no choice but to stress about how to fix it.
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Old 08-25-2009, 08:03 PM   #10
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Quote:
Originally Posted by nsilverice View Post
Hi Blondegirl,

I was wondering if the permanent sutures are visible and how much did your PS charge you to fix the problem? I just found out today my left side bottomed out slightly and, since I can't see my PS until early October (he's in a different state), I have no choice but to stress about how to fix it.
I have permanent sutures and no, you can't see them. You can't even feel them - you feel the pain because its tighter but nothing more. Just make sure to wear support 24/7 until you see him again. Mine did not charge me his fees to fix the bottoming out but i did have to pay for the surgical center. You can always ask him to work with you.
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