Breast augmentation can be a transformative procedure, but like any surgery, it is not immune to complications over time. Two of the most common concerns patients experience after breast augmentation are bottoming out and implant shift. These issues can affect both the appearance and comfort of the breasts, often leaving patients frustrated or self-conscious about their results. Fortunately, advanced breast revision techniques performed by an experienced surgeon can successfully correct these problems.
In Beverly Hills, where aesthetic standards are high and surgical expertise is paramount, breast revision surgery offers a reliable solution for restoring balance, support, and natural-looking contours.
Understanding Bottoming Out and Implant Shift
Bottoming out occurs when a breast implant descends too far below the natural breast crease (inframammary fold). This causes the nipple to appear too high on the breast mound while the lower portion of the breast looks overly full or elongated. Bottoming out is often the result of weakened tissue support, oversized implants, or overly aggressive surgical dissection during the original procedure.
Implant shift, on the other hand, refers to implants moving laterally (toward the armpits), upward, downward, or unevenly. This may happen due to poor pocket control, inadequate internal support, trauma, weight fluctuations, or natural tissue stretching over time. Both issues can lead to asymmetry, discomfort, and dissatisfaction with the overall appearance of the breasts.
Why These Complications Require Specialized Breast Revision Surgery
Correcting bottoming out or implant shift is not a simple adjustment—it requires advanced surgical skill and a deep understanding of breast anatomy. Breast revision surgery is often more complex than primary augmentation because the surgeon must work with existing scar tissue, altered anatomy, and compromised support structures.
This is why choosing a board-certified plastic surgeon with extensive experience in breast revision surgery is essential. In Beverly Hills, Dr. Brian Shafa is known for his meticulous approach to correcting implant-related complications while preserving a natural, elegant aesthetic.
Best Surgical Options for Correcting Bottoming Out and Implant Shift
The ideal surgical solution depends on the severity of the issue, implant type, tissue quality, and your desired outcome. Common breast revision techniques include:
Internal Bra (Capsulorrhaphy) Techniques
Capsulorrhaphy involves tightening and reinforcing the implant pocket using internal sutures. This technique helps reposition the implant and prevent future movement by restoring proper pocket boundaries. It is one of the most effective methods for correcting bottoming out and lateral implant displacement.
Implant Exchange or Downsizing
Oversized or heavy implants can place excessive strain on breast tissue, leading to bottoming out over time. In many cases, exchanging implants for a smaller or lighter option can significantly improve support and long-term stability.
Reconstruction of the Inframammary Fold
When bottoming out occurs, the natural breast crease often needs to be reconstructed. Dr. Shafa carefully recreates the inframammary fold to reposition the implant higher on the chest, restoring a more youthful and proportionate appearance.
Use of Advanced Support Materials
In cases where tissue quality is compromised, advanced surgical meshes or internal support materials may be used to reinforce the breast pocket. These materials provide added strength while allowing the body to heal naturally around the implant.
Combination with a Breast Lift
If implant shift or bottoming out is accompanied by sagging skin or nipple displacement, a breast lift may be recommended in conjunction with revision surgery. This combination improves both implant position and overall breast shape.
Why Beverly Hills Patients Choose Dr. Brian Shafa
Dr. Brian Shafa is a board-certified plastic surgeon with extensive experience in complex breast revision procedures. He understands that patients seeking correction for bottoming out or implant shift are often emotionally invested and eager for a solution they can trust.
Dr. Shafa takes a personalized approach, carefully evaluating implant position, tissue integrity, and aesthetic goals before designing a customized surgical plan. His philosophy focuses on long-term stability, symmetry, and natural-looking results, rather than short-term fixes.
All procedures are performed in fully accredited, state-of-the-art surgical facilities, ensuring the highest standards of safety and care. From consultation through recovery, patients appreciate Dr. Shafa’s clear communication, attention to detail, and commitment to achieving refined outcomes.
Restoring Confidence Through Expert Breast Revision
If you are experiencing bottoming out or implant shift after breast augmentation, you are not alone—and you are not without options. Modern breast revision surgery can effectively restore proper implant position, improve breast shape, and renew confidence in your appearance.
For patients seeking the best breast surgeries in Beverly Hills to correct implant complications, working with an experienced surgeon like Dr. Brian Shafa can make all the difference. A thoughtful, expert approach ensures results that are not only beautiful but built to last.
