About Augmentation + Lift
Most commonly, implant ptosis, or “bottoming out”, happens when a patient’s tissues may not be strong enough to support the weight of the implant over time. It is more commonly seen in thin patients and with sub glandular placed implants, however, it can randomly occur with any augmentation patient. In rare cases, over dissection at the time of surgery can lead to implant ptosis, but this is generally not a common cause of bottoming out. Over dissection is readily recognized when, immediately postoperatively, the implant is noted to be positioned too low on the chest.
Correction of implant ptosis can be difficult and may require multiple surgeries. Capsulorrhaphy procedure to reconstruct the implant pocket is the gold standard for treating implant ptosis or malposition. If capsulorrhaphy by itself is ineffective, then the use of Galaform, Ovitex or Strattice (an acellular reconstructive tissue matrix to support the tissue and hold the breast pocket in the desired location) is required. Use of these products to support the breast are generally very effective but can be expensive. Occasionally, removal of the implant and capsule altogether is required. The patient can go back to surgery 4-6 months after healing and start over with a new augmentation procedure. These procedures can take anywhere from 1 to 7 hours depending upon the complexity of the condition.
It is a difficult problem to address surgically. Patients should remember that the larger implant is heavier and patients with thinner skin are more likely to bottom out leading to this challenging complication.
The Aesthetica Difference
As a board certified plastic surgeon with over 25 years of experience, Dr. Crofts has performed hundreds of implant pocket corrections. During your consultation, he will meet with you to discuss your needs and make expert recommendations to help you achieve your desired results.
Journey to Confidence
At your consultation, you will be able to discuss questions and review what you would like changed through surgery. Dr Crofts will discuss the details of the procedure and create a surgical plan with you. Our office staff will provide you with a surgery quote and can help schedule a surgery date at that time.
You will have a pre-operative appointment three weeks prior to surgery. At this appointment you will sign consents, discuss any last minute questions and concerns, and get further pre- and post-surgery instructions.
Your surgery will take place at an accredited facility. This is generally a 3 to 5 hour procedure and you will be released home on the same day.
Generally, you will be seen 1 to 3 days after surgery and again 4 to 5 days later. Further post operative appointments will continue and be dependent upon your recovery.
You should be able to resume normal activity 6-8 weeks after surgery. Patients will need to refrain from any activity that will put downward pressure on the implant such as running or lifting for 6-8 weeks to allow the internal pocket repair to fully heal. At Aesthetica, post operative care and safety is our number one priority. We see patients frequently after their procedure to assure healing and recovery is on track. Patients have 24 hour access to an on-call nurse for emergencies.
Feel the results, see the difference, and enjoy the confidence
Aesthetica Plastic Surgery Reviews
Dr Crofts is a rare find. He is incredibly talented as a surgeon and an amazing human being. We’ve needed his skills on multiple occasions. He’s skills at repairing my son’s crushed hand gave him full use again. We feel very blessed to have him in our lives.
Truly amazing! Can’t say enough about how friendly, knowledgeable and helpful his staff is. As for Dr Crofts himself- He’s very educational, professional and his work is top notch. I would highly recommend him to anyone looking for a surgeon!
Dr. Crofts is an amazing surgeon! I did a fair amount of research before I visited his office. After meeting him and his staff I knew I was in the best place possible for me. The staff were incredibly supportive, thorough, kind and knowledgeable. Everything was explained to me in detail and the staff answered all my questions. From the first day in the office to post op I have been cared for in the best possible manner. My surgery went very well as did my healing process, and my breasts turned out beautiful! I am so happy with the results and I now have more confidence in my body. Dr Crofts is a gifted plastic surgeon who cares about you as a person. I would strongly recommend him and his staff. They are an incredible team!
Dr. Crofts is an amazing surgeon! I did a fair amount of research before I visited his office. After meeting him and his staff I knew I was in the best place possible for me. The staff were incredibly supportive, thorough, kind and knowledgeable. Everything was explained to me in detail and the staff answered all my questions. From the first day in the office to post op I have been cared for in the best possible manner. My surgery went very well as did my healing process, and my breasts turned out beautiful! I am so happy with the results and I now have more confidence in my body. Dr Crofts is a gifted plastic surgeon who cares about you as a person. I would strongly recommend him and his staff. They are an incredible team!
Incredible customer service
564
Total Reviews
5
Average Rating
Frequently Asked Questions
Who is a candidate for breast pocket adjustment?
Patients experiencing implant malposition (breast implants dropping too low or not centered) that wish to adjust the position of the implant are good candidates for pocket adjustment.
What is the downtime for pocket adjustment?
Downtime for this procedure is 6-8 weeks of no lifting over 5 pounds and no strenuous activity.
Will I need new implants after pocket adjustment?
Not necessarily. New implants are not required for pocket adjustments, but if the implants you currently have are older than 10 years old, it would be ideal to replace the implants at the same time as the adjustment to ensure you get the best possible result.
Can pocket adjustment be done at the same time as a re-augmentation or breast lift?
Yes, both procedures can be done at the same time.