About Breast Implant Pocket Adjustment
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
At Aesthetica Plastic Surgery, our surgeons bring a combined 28 years of extensive experience and have successfully performed hundreds of implant pocket correction procedures. Implant pocket correction is a specialized technique used to address complications such as implant malposition, capsular contracture, or asymmetry. During your personalized consultation, the surgeon will thoroughly evaluate your unique anatomy and discuss your goals in detail. Based on this comprehensive assessment, they will recommend the most appropriate surgical approach to optimize implant placement and achieve natural, balanced, and lasting results tailored specifically to you.
Journey to Confidence
At your consultation, you will be able to discuss questions and review what you would like changed through surgery. Your surgeron 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 be performed at an accredited surgical facility, ensuring the highest standards of safety and care. The procedure typically takes between 3 to 5 hours, and in most cases, patients are able to return home the same day to begin their recovery.
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.
Most patients can expect to resume normal activities within 6 to 8 weeks following surgery. It is important to avoid any movements or exercises—such as running or heavy lifting—that place downward pressure on the implants during this time, allowing the internal pocket repair to heal properly. At Aesthetica, your safety and recovery are our top priorities. We provide frequent post-operative visits to monitor your progress closely and ensure optimal healing. Additionally, patients have 24/7 access to an on-call nurse for any urgent concerns or questions that may arise during recovery.
Experience the transformation, notice the difference, and embrace your renewed confidence. Most patients feel deeply reassured in their decision to undergo breast implant pocket adjustment, knowing they’ve taken an important step toward achieving balance, comfort, and results that reflect their aesthetic goals.
Aesthetica Plastic Surgery Reviews
My overall experience with Dr. Crofts was Great he takes his time to explain everything and I am extremely happy with my results I did not feel like just a number with him or his staff. I would definitely refer Dr. Crofts to my friend's.
Dr. Crofts is fantastic and does beautiful work. Whether you are interacting with the receptionist, nurses, or Dr. Crofts himself, they are all very kind and personable. Post surgery, the staff is great to answer any questions and return phone calls in a timely manner. It was a great experience from beginning to end.
Dr. Croft and his office staff are very professional. They gave me a warm welcome and made me feel very comfortable during my visit. They answered all of my questions and went above and beyond helping me to make up my mind about what size implants I wanted and even showed me how to know what was the best fit for my body’s shape and size.Dr Croft even helped me to understand that having elective surgery is about having confidence in your body and how it can boost self esteem. In doing so, he helped to ease my feelings of guilt because I felt like I was being “vain” when so many live with disfiguring scars and birth defects.And upon my request, Dr. Croft even gave my husband and I a quick tour of the recovery room and even let us peek into the operating rooms. The tour made us feel even more comfortable with my upcoming procedure.With so much care and thoughtfulness that went into my initial consultation, I’m very much looking forward to my surgery and I have the utmost confidence in choosing Dr. Croft and his staff at Esthetica for my procedure.
Loved my experience with Dr Crofts and all his nurses and assistants were so sweet and supportive to work with post surgery!!!!! I’m so happy with my results
Very good doctor appreciate everything he has done for me
572
Total Reviews
5
Average Rating
Frequently Asked Questions
Who is a candidate for breast pocket adjustment?
Patients who experience implant malposition—such as implants that have dropped below the natural breast fold or appear off-center—may be ideal candidates for implant pocket adjustment. This procedure is designed to reposition the implant for improved symmetry, support, and aesthetic balance.
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.