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Information for Performed, Costs, Doctors, Photo
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Bottoming out is a complication when the implant rides too low in the breast tissue and may cause the nipple to point upwards. Correction for bottoming out may be accomplished by re-entering the breast and re-creating the pocket.
Symmastia
Symmastia produces the appearance of
breasts being too close to each other. To
correct symmastia, a surgical procedure may
be required. Larger implants may be
exchanged for smaller implants. After
corrective surgery, a special support bra
and other supportive bandages may be needed
to provide the necessary cleavage support
while the tissues heal.
Capsular Contraction
The body's natural healing process
creates a capsule
around the breast implant,
just as it would any other foreign object.
Capsular formation is normal and also occurs
with other types of implant surgery
including placement of pacemakers,
artificial bones, or joints. In some cases,
however, the capsule closes or contracts
around the implant. This closure is called
capsular contraction. Capsular contraction
can occur at anytime after surgery — when it
does occur, it is typically within a few
months. Note, however, that capsular
contraction is not common.
Capsular contraction compresses the implant,
causing the implant to look distorted. In
the most advanced cases, the implant can
feel hard and misshapen. The implant has not
changed or hardened, but the capsule
squeezing the implant has caused it to feel
hard.
Capsular contraction is measured by a
grading system referred to as the Baker
grading system. The Baker grading system has
four grades:
Grade I - The breast is normally soft and looks natural
Grade II - The breast feels a little firm but looks normal
Grade III - The breast feels firm and may appear distorted
Grade IV - The breast feels hard, possibly painful, and may appear distorted
Treatment for capsular contraction requires surgery to remove or replace the implant.


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