What Are The Options For This Animation Deformity After 2 Surgeries? (photo)

I have had two breast surgeries. The 1st was a non-dual plane aug with small implants. The second was a mastopexy and implant exchange with slightly larger (25-50cc) implants and dual planed. What would my best approach be at this time? I have considered subglandular placement. Both or just the affected implant? I can rarely avoid involunatrily flexing my peck and causing this breast to "jump." Personally, I am dating and already have to explain the pexy scars, this "trick" breast is a bit much.

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14 Doctor Answers | Asked by erin4159 in Dallas

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What Are The Options For This Animation Deformity After 2 Surgeries?

You may have enough tissue thickness to camouflage a silicone gel implant of moderate size in a subglandular position, and moving these implants (yes, you should have both implants in the same plane) above the muscle is the most reliable way to eliminate both the animation deformity and the unusual contour of the lower pole of your right breast. This contour problem on the right side is related to disruption of your inframammary crease and division of your muscle, the division being... more

Double-bubble/animation deformity

There are some good answers here to this difficult situation but there are also some that I strongly disagree with. There is only one problem and it's a double-bubble deformity caused by the pull of the inferior (and too high medial) edge of the pectoralis muscle on the connective tissue (fascia) around the breast transmitted to the skin level. It is not the old inframammary crease and the mastopexy done at the second procedure did nothing to correct it nor was the pectoralis adequately... more

Correction of “Animation Deformity” after Breast Surgery?

Thank you for the question and pictures. Because there are many advantages of keeping the implants in the partial self muscular position, I would suggest that you avoid replacing the breast implants in to the sub glandular position if at all possible. Instead, I would suggest that you have the right breast implant pocket explored; it is likely that there is muscle and/or scar tissue that can be divided to improve your situation significantly. I also think that additional skin... more

How to fix my right breast problem? (photo)

The first step in treatment is diagnosis. The fact that contraction of your muscle deepens the crease informs us that the lower inner border of the dynamic pectoralis, which has indeed been "released" from its lower sternal and costal origins and now lays superficially across the implant surface, is attached to the skin, perhaps via the implant capsule. This attachment must be divided. Repositioning the implant in the subglandular space will fix the problem, but... more

More muscle release for animation deformity

I am going to disagree with most of the other answers. Subglandular placement will correct this animation deformity but may lead to other issues. I would first explore the right breast to see what is causing the problem - most likely incomplete muscle release and then try to release some more muscle. May also be some tethering along the double bubble that should be released as well.

Double bubble and animation deformity

You have two issues. 1) double bubble amd 2) animation deformity. The animation deformity may improve with placing the implants above the muscle. This may lead to the implant being visible in the upper pole if you do not have a lot of soft tissue coverage. The double bubble may be corrected by placing a smaller implant and adjusting the fold position. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Double bubble deformity

Erin, Your problem is not an easy one and although it may be an occasional source of entertainment for you, should be corrected. That is certainly easier said than done. Fortunately, you already have the mastopexy scars that can be utilized to gain wide enough access to your pectoral muscle and the breast fold. In my hands the correction would entail either reinserting the pectoral muscle to the chest wall on your right breast or releasing the breast fold from the... more

Jumping breasts

Because the implant gets deformed as the overlying muscle contracts with use, the breast that is heavily dependent on the implant for size and shape may experience the deformation you have. Obviously the smaller the implant, the less this deformity so that a pea-sized implant will have no such anomaly. You must remember that augmentation with implants is an imperfect operation and you should prepare yourself to be able to accept some "imperfection". These can be contour... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

How can avoid breast tricks after augmentation

Depending on the blend of the implant and breast, a submuscular pocket may not work out for everyone. The dual plane is really submuscular. If you had a trick breast that moved in akward ways the solution is subglandular placement, and we would move both. Best of luck, Peter Johnson, MD

Jumping implant

This is not a simple problem to fix. I agree that there are two problems but they are related. Without movement you have a double bubble which is that your fold was lowered too much and you see the old fold and the new fold. This leads to the deformity with movement. Your muscle is higher then your implants and when you move the muscle it pushes on the implant. This is also because you have a capsule that attaches the muscle to your implant. So instead of your... more