3 Months Post Breast Implants: Right Breast May Have Double Bubble

asked 1 year ago by nalanigirl in dallas
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 780 times
Tags: silicone implant, under muscle, 3 months post-op, 250-299cc, costs, double bubble, revision, rippling

I am three months post OP. I have 275 silicone implants on the right and 234 on the left. They are under the muscle. My right breast feels weird and is falling more to the center of my chest making the breast not centered. I can feel the implant and rippling along the bottom which is not comfortable. Does this mean I have double bubble going on? Should I have revisionary surgery? And if so should I have to pay the full cost, if I am not happy? I already paid over $8,000. Thank you!

9 answers to 3 Months Post Breast Implants: Right Breast May Have Double Bubble

Revisionist surgery may be possible

It is a little early to fully judge the surgery, revision surgery may be necessary after 6 months or so. Each practice has a different policy for pricing on revisions. If revisionist surgery is necessary communicate clearly but calmly your concerns and a surgeon will generally respond well.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

Double Bubble after Breast Augmentation?

Thank you for the question and pictures. The area of concern is visible on your side view. If the problem is being caused by the breast implant being too low on the chest wall, this may need to be corrected in the future. I would suggest that you wait an additional 6 months to allow for complete healing/“settling” to occur before you evaluate the end results of the breast augmentation. It is possible that capsulorraphy may be helpful in... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Double Bubble Deformity after Augmentation

I cannot see any evidence of a "double bubble deformity" on your photos. In act, it appears that you have a nice early result. It is not unusual to be able to palpate the implant inferiorly since this portion of your implant is usually not covered by your muscle. You should discuss any concerns with your plastic surgeon.

John Whitt, MD
Louisville Plastic Surgeon

Scarring

It looks like you have some scarring of the tissue down at the infraareola incision. You may need a revision to correct that depression but it is not a double bubble.

Steven Wallach, MD
Manhattan Plastic Surgeon

Right breast double bubble or what

The indentation you have appears to be an area where the breast/nipple skin is thinned and adherent to the implant capsule. The breast does not have a double bubble. This is not a 'contracture' either as the scar is simply thinned and stuck. The repair would involve lifting the breast tissue at the nipple edge, and in the lower part of the breast to provide a layer between implant and skin, and the dent should go away. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

3 Months Post Breast Implants: Right Breast May Have Double Bubble

Your photos series are very helpful. Either a contracture as previously stated or fat necrosis is causing the indentation. I recommend re operation under local to release the contracture and place fat grafts.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Looks like your incision scared down to the pectoralis muscle

The incision over the right side has scar down to the deeper layer and did not let the implant to expand the lower pole of the breast. If you put your hands on your hip and press,the pectoralis muscle contraction will pull on the scar. This is common on patient that have mild breast sagging and get breast augmentation through the aerolar incision. Your doctor should be able to fix it.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast implant double bubble or contracture?

Without personally seeing you no one can give definitive advice but the photo appears more consistent with capsular contracture. Sometimes there are several problems occuring together so if you see the indented area pullind up when you flex then it could be a variation of double bubble with animation deformity in addition to cc. I expect that your plastic surgeon will want work with you to make it better.

Richard Baxter, MD
Seattle Plastic Surgeon

Breast Augmentation / Revision

According to your photos and the description of your implant position, it looks like you have either developed a tight contracture underneath your right areolar incision or that your implant may have moved out of its pocket somewhat. Given your photos, I'd lean towards a contracture, but this could be easily determined by your surgeon with a simple physical exam. At three months it is unlikely that this will resolve without revision, but your surgeon may advise several more months of... more