I was a 34A and got 533cc silicone implants. What Are my Options to Correct Double Bubble? (photo)
Doctor Answers 8
Double bubble contour
It looks as though the inframammary folds have been elevated by overdissection of the lower pockets. This will probably need to be repaired surgically with a post-operative need to wear an underwire bra to protect the repair for a while.
Fat grafting may help but this tends to be unreliable. Needling or other skin stretching maneuvers can help but unless the ligaments that maintain the natural fold are repaired it is likely that the implants will continue to slide down over time.
Correction of Bottoming Out?
I'm sorry to hear about the complication you have experience.
The implant malposition ( bottoming out) can be corrected using a permanent suture technique (inferior pole capsulorraphy). This procedure will reconstruct the lower breast implant capsule area and decrease the distance from the areola to inframammary fold. It will also help to hide the current inframammary fold score better.
I would suggest in person consultation with plastic surgeons who can demonstrate their success with similar procedures.
What Are my Options to Correct Double Bubble? (photo)
Thanks for the posting of all your photos. Very hard over the internet to give any specific advise. In fact I see a very acceptable result that needs some tweaking. I might consider fat grafting the inferior poles with needling the skin to cause a stretching effect. But again ONLY in person evaluation would allow a definitive plan.
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Your options are revision with capsule revision and smaller implant
The pictures are very helpful and show the problem clearly. You will notice this more with putting your hands on your hip and pressing down. Your infra mammary fold is disrupted and will need repair. Smaller implant will help.
Options for "double bubble" breasts
Based on your photographs, the implants appear to have "bottomed out." The inframammary fold needs to be reconstructed. Also, decreasing the size of your implant would help with long-term correction.
Correcting the double bubble
Correcting the double bubble involves maintaining the breast implant within the comfine of the breast envelope. Options include repair of the inferior capsule and setting the breast fold, and a smaller implant which is a better fit and less challenge to the breast.
Best of luck, peterejohnsonmd
Fixing double bubble shape after breast augmentation
While a double bubble can occur from lowering the bottom fold of the breast, it can also be related to animation problems from the way the muscle is cut for the usual submuscular placement (dual plane). If you notice pulling up where the fold is when you flex your pecs, then it is the muscle pulling there that is also causing the double bubble. In that case you would want to convert to either a split muscle or subfascial plane which could address both problems. A simple capsulorrhaphy is not always reliable regardless of what type of sutures are used.
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