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Bufford Moore, MD
Bufford D. Moore, M.D.
Baytown, TX
  • Breast Augmentation (Breast Implants)
  • Face Lift Surgery (Rhytidectomy)
  • Breast Reduction Surgery
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Breast Augmentation (Breast Implants) Cost & Profile

  • Avg. Cost: $3375
  • Candidate: Small, disproportionate breasts
  • Length: 1-2 hours
  • Treatments: One
  • Results: Permanent possible implant replacement
  • Back to work: 1-2 weeks

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When Implants Bottom Out: How it Happens, How it's Fixed


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In some cases tissue support at the bottom of the breast can weaken, allowing the breast implant to move downward forcing the bottom crease lower on the chest.  Factors that can contribute to bottoming out include:

  • Over dissection of implant pocket (when this is the cause, bottoming out usually occurs within weeks or months)
  • The implant is too heavy for the amount of skin and underlying breast tissue (under this circumstance bottoming out occurs gradually over time)
  • Placement of implant (complete sub-muscular placement has a dramatically lower occurrence of bottoming out than placement above muscle or partially below muscle, although this may result in a less natural look)

Correction of Bottoming Out:

To correct this complication additional surgery is necessary:

  • An incision is made (usually along the breast crease)
  • The tissue surrounding the implant is cut and rolled upward to the desired position of the new crease and held in place with internal sutures
  • The incision site is closed

Note: If the implant is too heavy for the amount of tissue it may need to be replaced with a smaller implant or temporarily removed while the tissue heals.





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Related Subjects and Keywords: breast augmentation  breast implant  bottoming out  revision surgery 


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