Small Area Under Breast? (photo

I'm wondering if I will not have any double bubble problems because the part under my areola is too small. Also my areola seems to big, is it going to look aesthetic? I'm 5'6" 144 lb cup b. I have hips, I'm afraid that I may look fat with bigger breasts. Thank you for your comments!

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12 Doctor Answers | Asked by Mosa in Arizona

Doctor Answers (12)
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Constricted breast options

What you are describing and the photo you provided suggest you have a constricted breast where the inframammary fold is high and tight. Your left breast also has mild tuberous breast change with lower nipple areolar position and enlarged areola as well. It's important to think about your implant placement location, size of implant and shape/profile of implant. If you feel the areola is too large then consider reducing it during surgery. If you choose an implant that's too big and during... more

Worried about Double-Bubble Deformity

The double bubble deformity only happens when the surgeon disrupts the natural anatomy of the lower crease. That isn't necessary for you unless you want an oversized implant. One good option is the Mentor Spectrum adjustable saline implant coupled with a small periareolar lift. That implant can be put in with a relatively small volume and gradually enlarged to generate more skin length in the lower breast as long as the lower part of the implant is not under the muscle. That would require a... more

Consider subfascial breast augmentation and purse-string areolaplasty

Hello, Thank you for the question and photos. Depending on what you would like to achieve in terms of your overall results I think a subfascial breast augmentation with silicone implants and a purse-string areolaplasty would provide a great result for you. I have included a link from one of my patients before and after photos who had a similar procedure. All the best, Dr Remus Repta

Avoiding Double Bubble in Constricted Breast

In most women with constricted breast I have found that they would prefer to have a rounder, larger breast. Although routine lowering of the IMF is not for everyone, there is an art to lowering this and can be done without totally obliterating the region and causing double bubble. As a conservative estimate, I treated about 100 women last year with significant constriction, tubular, or tuberous breast deformity, and I have not had a double bubble in followup. more

Options to correct a constricted breast shape in breast augentation

From observing your photograph it appears that you have several challenges to obtain an aesthetically pleasing breast. All of these can be accounted for to help you achieve your best result. You do have a high and tight inframammary crease which is causing you to have a constricted breast shape. The areola on the left side is lower than the right and also larger in diameter. Implant placement and pocket dissection are critical. In most cases similar to yours... more

Double Bubble Concerns

Dear Mosa, Thank you for sharing you photo. I can understand why are concerned with the double bubble. However, with the right skilled surgeon carefully planning and performing your surgery the risks of developing a double bubble effect will be diminished. At this point, a reasonable sized implant will be a good consideration therefore decreasing your risk of having the anatomical integrity of your lower fold. That being said, please remember that commendable... more

Proportion and breast surgery

You have several options available to you. You could chose to have a augmentation alone or have an augmentation and also have a nipple reduction and small lift done on the left side to raise it into a position equal to the opposite side. If you pick an appropriate size implant it should create an appealing proportion with hour hips rather than make you look heavy. Good luck with your decision, Doug Hargrave M.D.

Small Area Under Breast?

Eve with the poor exposed photo you have an issue that needs surgery revision to correct. Seek in person second opinions.

Hello

Without an actual exam it would be very hard to determine what kind of results you're looking at. If you're looking to make your nipples smaller you can do a nipple reduction. Your surgeon is the one that has the skills to make the pocket to fit the implants.

Avoiding the double bubble

If the breast is constricted under the nipple, the skin will expand to accomodate the implant, and a double bubble will only occur if the fold is disrupted. The nipple can be raised and the areola reduced which might improve things, but it is reasonable to try augmentation first.