Options after bottoming out condition
I have previously discussed a problem called “bottoming out” – formation of an uneven bustline due to uneven implant pocket formation. Traditional techniques for repair of bottoming out have involved a procedure known as a capsulorrhaphy in which the scar capsule supporting the implant is brought together to close off the pocket where the implant sits. “Unfortunately, sewing weak tissues together and then replacing the implant which caused the initial stress is a setup for failure,†according to plastic surgeon Robert Frank. Studies have reported over 50% failure rates for capsulorrhaphy.
Dr. Frank has developed a new technique that uses a patented mesh sling to support and bear the weight of the implant. The mesh not only closes off the defect caused by the stretched tissue but, acts as a scaffold for new scar tissue. “Once the scar tissue has grown into the mesh, the chance of recurrence becomes very small,†said Frank. This process occurs within about two weeks. Patients report the mesh feels much like the implant does and after a few weeks most are back to their normal activities. Another situation in which this procedure may be useful is when the implants shift to the sides when the woman lies down on her back.
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