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Arch Aesthetic Plast Surg. 2014 Oct;20(3):169-172. English. Case Report.
Kim HJ , Jang YJ , Song SY .
Eight Plastic Surgery Clinic, Seoul, Korea.
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.

Bottoming out is the term used to describe the inferior displacement of a breast implant after breast augmentation that results in increased distance between the nipple areolar complex and the inframammary fold. Conventional techniques for correcting bottoming out involve capsulectomy and capsulorrhaphy via an inframammary fold incision that is prone to cause large scar and increases the patient's burden. However, using an endoscopic approach via the axilla, we are able to correct bottoming out, resulting in a smaller scar and shorter recovery time. In this article, we present a novel and simple method to correct bottoming out using endoscopy and electrocauterization.

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