This patient had a “Bottoming Out” effect after her previous Submuscular Breast Augmentation. Her surgery had been done at another plastic surgical practice. Weight of implants had stretched the pocket of implants below her natural breast creases. This had caused sky facing nipples and areolas. This sky gazing effect is called “bottoming out of breasts”. Essentially, it is an artifact caused by the implants.
She had severe animation deformities of her breasts from muscle contractions. Animation deformity to some degree always happens with placement of implants beneath muscles.
We approached this issue by removing her implants from submuscular location and obliterating the submuscular space.
New subglandular space was made in front of muscles along desired breast outlines. Same implants were now placed anatomically in the subglandular position.