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8weeks Post Under Muscle Replacement Implant Bottoming Out?

asked 1 year ago by just want them nice
Latest answer by Otto Joseph Placik, MD
Question viewed 750 times
Tags: bottom out, crease

I went from 375 to 275 gel implants under muscle again. Slight creases or indentions are above incisions and the left breast seems to be falling. Is this bottoming out? Would an underwire bra help? Can't see my PS for 2 weeks and I'm freaking out. Can any of this be fixed? Not looking forward to surgery #3.They look terrible, and how long do I wait?Will they continue to get worse?

6 answers to 8weeks Post Under Muscle Replacement Implant Bottoming Out?

+1

Dobule bubble and bottom out PHOTO

This is a combination of bottoming out and double bubble and will likely best be treated with implant downsizing and caspulorrhaphy to elevate the fold to its previous level see video
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Implant malposition after breast augmentation

The creases at the bottom of your breasts are from your inframammary folds, which represent where the breasts meet the chest wall. If this crease is released during breast augmentation surgery, it may persist and give the appearance of a "double bubble". Although this is not an emergency, it is correctable and you should definitely follow up with your surgeon to discuss all your options.
Olivia Hutchinson, MD

New York Plastic Surgeon
+1

Bottoming out after breast augmentation ("double bubble")

Unfortunately you are developing what we call “a double bubble,” more severe on the left side as you noted. This occurs when the inframammary crease is lowered too far in a submuscular plain. It is less an issue if the inframammary release is done in the subglandular plain. This can be corrected with what is known as a capsuloraphy which closes the inferior pocket and brings the prosthesis up into a better position. At this point an underwire bra will not help significantly and... more
William F. DeLuca Jr, MD

Albany Plastic Surgeon

www.delucaplasticsurgery.com

+1

The Double-Bubble and Breast Augmentation

Drs. Peterson and Wallach are right you have a double bubble.  Wait it out but downsizing and internal revision may be necessary. Dr. ES
Earl Stephenson Jr., MD, DDS

Atlanta Plastic Surgeon
+1

Double bubble

From your pictures, its looks like you have double bubble phenomenon, which is a persistence of your inframammry crease following augmentation. You do not mention how long ago you had your surgery. This may improve with time, but if it has not improved after a few months you may need a revision. I would discuss this with your plastic surgeon.
Jack Peterson, MD

Topeka Plastic Surgeon
+1

Bottoming out actually double bubble

It looks like a double bubble is forming creating an indentation where the natural fold was.  The fold needs to be reinforced and the implants may need to be downsized.
Steven Wallach, MD

Manhattan Plastic Surgeon

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