Breast augmentation – Correction of Lower Pole Stretch (Bottoming Out)

The case studies below are examples of women who underwent breast augmentation surgery and subsequently developed lower pole stretching resulting in inferior displacement of their lower inframammary folds (lower breast crease) causing bottoming out of her breasts. They subsequently underwent correction of the problem by re-elevating their inframammary folds to the original position .

Pre-Revision

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6 Months After Revision

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Patient Information: 24 year old female underwent inframammary (below the breast) placement of 286cc round silicone gel filled implants under the muscle. Initially, the implant placement was perfect. Only four months later, she developed lower pole stretch with inferior displacement of the lower breast creases. As the crease dropped, the scar which was initially in her crease, was now above the crease.

The left images show her just prior to undergoing revision demonstrating significant inferior displacement of the lower breast crease. The images on the right show the patient six months after revision with a stable result. There is restoration of upper pole fullness, reduction in lower pole fullness and the nipple areolar complex (the “nipple”) was restored to the proper position. 

Pre-Revision

Breast Augmentation Correction | Long IslandBreast Augmentation Correction | Long IslandBreast Augmentation Correction | Long IslandBreast Augmentation Correction | Long IslandBreast Augmentation Correction | Long Island

6 Months After Revision

Breast Augmentation Correction | Long IslandBreast Augmentation Correction | Long IslandBreast Augmentation Correction | Long IslandBreast Augmentation Correction | Long IslandBreast Augmentation Correction | Long Island

Patient Information: 30 year old female underwent inframammary (below the breast) placement of 300cc anatomical saline gel filled implants under the muscle. Initial mplant placement was perfect. Only four months later (top right), she developed lower pole stretch with inferior displacement of the lower breast creases.

The left five images show her just prior to undergoing revision demonstrating significant inferior displacement of the lower breast crease. The images on the right show the patient six months after revision with a stable result. There is restoration of upper pole fullness, reduction in lower pole fullness and the nipple areolar complex (the “nipple”) was restored to the proper position. 

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BOARD OF PLASTIC SURGEONS

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Epstein Plastic Surgery Long Island NY

NEW PATIENT CONSULTATIONS, INJECTABLES,
NON-SURGICAL PROCEDURES AND POST-OP CARE
Mark D. Epstein, M.D., F.A.C.S.
200 Motor Parkway, B12
Hauppauge, NY 11788