HELP!!! What is this and how do I get it fixed??

Had breast aug 5 months ago along with a keyhole lift.  Post weight loss surgery and two kids...horrible sagging breasts.  I wanted 375 to 425 surgeon put in 335 and now i have attached pic... What is this, how do I fix it?  Original surgeon wants to do sutures and does not want to put in slighly larger implants as paid for (roughly 400) second surgeon says first one didnt do lift properly and I need a revised lift which would hold 400cc.. And most important does gel or saline make a difference.  have gel but would do saline second time around to get fuller higher appearance AND less chance of reccurance... HELP HELP revision is scheduled for next week and I am not 100% we are doing the right thing...

Doctor Answers 5

Crease and lower breast deformity needs correction

This problem can occur for many reasons that are too complicated to elaborate. However, I agree with the other Plastic surgeons that have responded indicating that the size of the implant is a very important factor. If you want to improve your success rate with revisional surgery, the implant can not have a larger diameter than the natural width of your reshaped breast. Furthermore, re-tightening your breast fold is only as strong as your tissues-a feature that your surgeon can not change. Your tissues will more likely "give away" again with a larger and heavier implant in place. I strongly disagree that you can have any size that you want without seriously increasing your risks of complications and and your rate of revisional surgeries in the future.


Dr. Mosher

Vancouver Plastic Surgeon
4.5 out of 5 stars 18 reviews

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IMF crease

Looks like you need your infra-mammary fold reconstructed. Once this is done, the pocket will be obviously smaller than now and the decision about new sizing is best discussed with the surgeon fixing your IMF fold.

The lift itself may not need to be redone entirely, just make sure you consult with a Board Certified Plastic surgeon familiar with IMF fold reconstruction.

You have a fold problem. Bigger implants make a bigger problem.

I agree with Dr. Baxter. You must examined before anyone can tell for sure what is happening. If you do have a double bubble as he mentioned, be very careful about a larger implant size this can make the problem much worse. It is most likely that your original surgeon put in the size implant he or she did because of that very worry. Make certain that whoever you are seeing is a Board Certified PLASTIC SURGEON. This is a somewhat complicated problem and you need to be certain that you are in good hands.

Brian K. Brzowski, MD
Ogden Plastic Surgeon
5.0 out of 5 stars 37 reviews

How to fix double bubble breast implant problem

First, no one can give you specific advice without seeing you personally, but what I can say from the picture is that you have one version of what is known as a double bubble. Most likely, the original bottom fold of the breast is where the groove across the breast is now. One reason this occurs is trying to make the pocket large enough to accomodate the implants by lowering the fold, so it isn't as simple as just choosing a size. If the diameter of the implant is too large for the base diameter if the breast, then troubles like this can result. Fixing it usually involves sutures  inside to raise the bottom fold up (called a capsulorrhaphy), but the implant size depends on your measurements.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 32 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.