Breast Augmentation: Q&A

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Double Bubble Correction 3 Months Post Op too Soon? (Photo)

I had a breast augumentation (Natrelle 360CC moderate teardrop implants)3 months ago. Surgeon lowered the breast fold,implants are under muscle.Unfortunately one breast shows the double bubble effect:-( My surgeon wants to wait and see and correct DB by making cuts in the muscle or putting the implants over the muscle. - Correction also possible 3 months post op? - Better make cuts in the muscle or putting implants over muscle? -Change to round hp implants for better shape and upper pole? Thx

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6 Doctor Answers | Asked by Chriss81 in Germany

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Correcting double bubble

Double bubble is a difficult problem to correct. The implant has descended below the inframmary fold. I personnally would not switch planes or cut the muscle. I would consider a neosubpectoral pocket with resetting of the fold. I feel this will give you the best result and enable you to preserve the subpectoral pocket.

I don't think you have a double bubble deformity...

It seems to me that you had constriction of the breast with an implant that is wider than the base of your breast used to be. I would definitely wait at least 6 or 8 months before considering revision, because it may not be necessary. The breast constriction will often stretch out with time. I think you will have a satisfactory result without further surgery. Good luck

Double Bubble deformity after BA

I can imagine your disappointment with your breasts. To me it seems that both breasts have double bubble deformities but that the left is greater than the right. My preference would be to close the lower pockets and restore the fold. This can be re-inforced with an acellular dermal matrix for a higher sucess rate. They are expensive so be prepared. The scoring your surgeon suggested is into the back of the breast, not the muscle. They can help. ... more

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Breast implants and double bubbles

Your case is a difficult one because the before photo shows most of the breast tissue above the nipple level and I suspect the nipple to fold distance was less than is usual. That is probably why your surgeon lowered the folds. In that case jsut raising them back up is not the answer. In the after photos the double bubble appears to be solely in the inner half of each breast fold. Therefore I suspect the release was not sufficient to cover the entire bottom curve of the breast or was... more

Double Bubble

One of the risks of lowering your inframammary fold is developing the double bubble, which it looks like you actually have on both sides. After 4 months, it is fine to undergo a revision of this problem - you might look into using alloderm or strattice rather than scoring the muscle or subglandular implant which carries other risks with it. Good luck!

Implant malposition correction

Thank you for the question and for the pictures. One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla). I see the implant malposition... more

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