|    The term 
              'bottoming out' describes the implant loosing tissue support in 
              the lower breast andmoving 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. 
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