Does the reductive mastopexy with implant approach prevent late bottoming out?

Abstract

After breast surgery, the late upward rotation of the nipple-areola complex and the increase of the fullness at the lower pole of the breast have been defined as a bottoming out. Although several studies have focused on the safety and complication rate of the one-stage augmentation/mastopexy, there is no clear recommendation on how to prevent the late complication of ‘bottoming out’. A retrospective review was conducted of 48 consecutive patients who underwent one-stage mastopexy/augmentation using the reductive approach. When performing the one-stage augmentation/mastopexy procedure, using the reductive mastopexy approach does effectively reduce the internal tension from the lower pole of the breast and helps to prevent the occurrence of bottoming out.