Web“Bottoming Out” or Implant Displacement. This deformity is usually due to a surgical error of releasing the inframammary fold excessively. It can happen on one or both sides and … WebFeb 27, 2024 · It is a common cause of concern for patients, and rightly so; a groove across the bottom of the breast is unnatural and unsightly. There are two causes of double bubble, and they often occur together: Lowering the bottom edge of the breast, and animation deformity from dual plane placement.
[Bottoming out in augmentation mammaplasty
WebAug 23, 2024 · Bottoming-out deformity is accepted as the most important disadvantage of breast reduction mammaplasty, which occurs in a gradual manner due to the effect of gravity on the gland. This phenomenon is most often encountered with the inferior pedicle technique. To prevent this deformity, various surgical techniques have been developed . WebAnimation Deformity – This condition occurs when only a portion of the pectoralis muscle covers the implant, ... “double bubble,” and “bottoming-out,” which result from implant pocket instability created by poor dissection and the use of an inappropriate sized implant. It can also be used in conjunction with a breast reduction or lift ... pntc student handbook
Staying Out of Double-Bubble and Bottoming-Out Deformities in …
WebMar 3, 2024 · Bottoming out or Pseudo-Ptosis Lower pole fullness occurs in a progressive manner due to glandular tissue being pulled down by gravitational forces after breast reduction [ 20, 21 ]. An objective measure is seen by observing the NAC to inframammary fold (IMF) distance which often elongates as early as 6 month follow-up [ 22, 23 ]. WebFeb 27, 2024 · Bottoming out is corrected with internal sutures (called a capsulorrhaphy) in the scar capsule that holds the implant in place. If the capsule is thin and stretched, it may be reinforced with a different application of the internal bra concept, with the mesh placed in the capsule instead of under the skin. See an example here. WebReduction mammaplasty using the free nipple graft technique may result in bottoming-out deformity and a lack of upper-pole projection. We describe a modified breast reduction technique that combines the Graf and Thorek methods. Methods: Preoperative markings were planned according to the classic Thorek amputation technique using a Wise pattern. pntbrother.com