'bottoming out' describes the implant loosing tissue support in
the lower breast and
moving downwards. It is different to the surgeon placing the pocket
lower on one side than the other.
This can happen with implants placed over the muscle or partially
under the muscle as the implant is
only supported by the patients tissue. Some surgeons think placing
the implant completely under the muscle including the fascia muscle
can prevent this, others do not agree. To repair a surgeon has to
recreate the pocket higher, closing the lower pocket with sutures.