What Causes Frankenboobs Aka Spongebob Squareboobs? (photo)

I am 4 days post-op from a BA (425 and 475 HP silicone implants, dual plane, inframammary incisions) and have the dreaded squareboobs. My surgeon said I would have trouble with swelling because of well-developed pecs. Is that why this occurs? Is there anything I can do to improve my condition or hasten my progress? It's unsightly and painful! My pre-op stats: 33 years old 5'8" 140 lbs grade 1 ptosis no children

Tags:

age 25-34 ptosis 5 ft 8 in to 6 ft 0 in silicone implant 4 days post-op 130-149 lbs dual plane square

Comment on this

4 Doctor Answers | Asked by breastochangeo in Texas

Doctor Answers (4)
Community Comments (0)

Concerns about Breast Shape after Breast Augmentation?

Thank you for the question and pictures. What you are experiencing occurs routinely to some degree after breast augmentation surgery done in the dual plane position. I think that this appearance is related to the contraction of the pectoralis major muscle on the breast implants ( keeping the breast implants riding high while the breast tissue remains “low”). You will find that, as the breast implants “settle”, the appearance of the breast will improve significantly.... more

Implants high in chest 4 days after procedure

Thank you for your well-documented note. Dual plane implant position is designed to avoid the issue you are facing. However, the size of the implant versus the breast width will affect the process and final outcome. Think of the implant "filling" the breast envelope and you can see that ideally the width of the implant has to be at least the same or smaller than the width of the breast itself. When the implant is placed under the pec muscle, the insertion of the muscle... more

Upper pole fullness

Your breasts appear misshapen due to the swelling under your muscle. This is common with this type of placement. Things will improve with time...several months...a stabilizer band and displacement exercises will help to decrease the fullness on top. Discuss this with your surgeon. As things heal, your lower breast will fill out, but it it doesn't, it would be easy to revise things later to help create the desired shape. The main thing to do now is to be patient. more

High riding implants on day 4

I would bet that in surgery, while you were asleep or sedated, that when your surgeon sat you up the implants look well positioned. The breast implants, and placed under the pectoralis muscle sit in a pocket much in the same way that an item dropped in the bottom of a long envelope would sit. He can't go any lower but can go higher. The lower part of the pocket is the inframammary fold and this is a fixed point. During and after surgery if you were to try to push down on the implant it... more