Bottoming Out
This is when the lower poles (halves) of the breast have lost their tissue support and the natural crease is slowly lowering itself. This can be somewhat avoided with full sub-muscular coverage with the abdominus rectus fascia and serratus muscles supporting the lower pole of the breast. The surgeon may incorrectly predict where the new crease will be when lowering the natural crease either surgically or by force with the STRAP. Especially if the surgeon is overzealous when making the pocket. Be wary of the surgeon using the electro cautery technique in making the pocket -- not everyone can do this correctly.
Correction for this complication requires re-operation although it can usually be remedied by permanent sutures only and a firm band supporting the lower poles of the breast for many weeks.
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