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Oddly Shaped Breasts with Dubble Bubble After Augmentation, What Should I Have Done? (photo)

asked 8 months ago by NikkiHy in Kansas City, MO
Latest answer by Alan Engler, MD
Question viewed 684 times
Tags: double bubble, options

About 1 year ago (I'm 21) I underwent a "donut" breast lift and had 400c saline implants placed under the muscle. The issue is, I am not happy with the appearance of my breasts. I find the shape odd, and am disappointed that the surgery didnt produced rounder, perkier breasts with more projection and cleavage. My right breast also has some "dubble bubble" going on. Would a revisional surgery (maybe with another lift) give me my desired results? What should I get done and what method? Thanks!

13 answers to Oddly Shaped Breasts with Dubble Bubble After Augmentation, What Should I Have Done? (photo)

Breast Augementation - Oddly Shaped Breasts with Dubble Bubble After Augmentation, What Should I Have Done?

Without being able to see before and after photos, and knowing exactly what was done, it is generally very difficult to make an assessment or judgment concerning the surgery. That being said, my guess is that it would have been difficult, based on what Ithink you looked like pre-op, to achieve the results you show on the right. Not that your own results are bad; on the contrary, I think you look good and it's probably a significant improvement over the way you looked before... more

Alan Engler, MD
New York Plastic Surgeon

Double bubble

I would add to the above repsonses that I do not believe any surgeon can make your breasts look like the photo you are showing. That patient likely had small, perfectly round, A-cup breasts before her implants.

Michael Hueneke, MD
Nashville Plastic Surgeon

Oddly Shaped Breasts with Dubble Bubble After Aug, What Shld I Have Done? (photo)Answer:

I think you probably did have a bit of a tubular presentation to your breasts before surgery and it appears you have fairly thick tissue and skin. In my patients that present with this, I recommend above the muscle to expand out the breast tissue, which it really needs, and helps avoid the double bubble…and it does require a fairly big implant but judging by what I think are your “ieal” pics, that shouldn’t be a problem. Remember, a donut lift really is a compromise... more

John J. Corey, MD
Phoenix Plastic Surgeon

Asymmetric breasts after breast augmentation

I assume your photos were taken reflected from a mirror so the right side is your right side. Therefore your posted photos show asymmetric breasts with the right nipple further from the midline than the left, the right breast crease lower than the left and the implants lying as round masses low on the chest wall. Without know what you started with (what were the breast crease levels and how asymmetric were you before surgery) or exactly what was done (how much skin was removed during the... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast implant/lift revision

This is unfortunately a difficult problem to correct, and I understand your disappointment. My suggestion, if you indeed go for a revision, would be a bigger /higher profile implant in a slightly bigger and more medial pocket. Good luck.

Anindya Lahiri, MBBS
Birmingham Plastic Surgeon

You will need to have pocket revision

Your desired picture have confused some the surgeon . Your after picture show double bubble and this may be due to the pocket dissection. You had lift at the same time and the revision rate for the combined procedure can be 40-100% based on the different published reports. Bigger implants will make it worse.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

I want rounder, perkier breasts with more projection and cleavage.

No explanation accompanies the submitted photos, but I see no "double bubble" in the right breast. If the photo on the right is your after result, fantastic, no problem obvious, excellent result. If the photo on the right is what you want but the photos on the left and center are what you have, then surgical revision is the only way to approach your goals. The degree of cleavage, rotund shape, and projection you can achieve will be limited by the extreme lateral... more

Steve Laverson, MD
San Diego Plastic Surgeon

Augmenting the tuberous breast is a challenge

It is unfortunate that you were apparently not made aware that you started with a probable tuberous breast deformity, one of the toughest starting points in breast augmentation and mastopexy. You could likely never get the result you want because of this starting point, but it could have been better with wider, higher profile implants and more lifting.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Aesthetic augmentation in Tuberous breasts- there is a solution

Your dissatisfaction with your breasts is due to a preexisting condition called 'tuberous breast deformity' and often refered to as tubular breasts. The key to handling tuberous breast deformity is making the diagnosis and adjusting the plan to achieve specific goals : 1.) releasing the constricted and high inframmamary fold, 2.) adjusting the breasts to a proper wider base width and higher upper pole fullness 3.) reduccing the areola with a technique that minimizes... more

Rian Maercks, MD
Miami Plastic Surgeon

Breast augmentation revision

Hello, There are options that can get you closer to what you would ideally want your breasts to look but it is also important to take into account that everyone's body and breasts are different and this will have some impact on your eventual result. It looks like your implants are not big enough. They appear to not be big enough in volume or width. If you draw a border around your breasts in terms of where you would like the beast tissue to taper off you can get an... more

Remus Repta, MD
Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

Oddly shaped breasts after a lift and augmentation

I would recommend simply doing nothing or going larger in terms of implant size and make sure you have a higher profile implant placed. I think your result is excellent however and I would be proud with the result in the picture. I cannot see the double bubble effect in your picture but this may require a pocket adjustment at the time of implant replacement. I think you had a difficult shape prior to surgery and the physician did an excellent job overall.

Christian Prada, MD
Saint Louis Plastic Surgeon

Odd shape breast following lift and implants

I am sorry that you are not happy with your result. It looks like you could benefit from another lift to bring the nipples and breast tissue higher on your chest as well as an adujstment of the pocket that the implants are in. It is not uncommon for implants to sit too wide apart when submuscular, like they are in your case. You need to have the implants placed closer to your midline to improve and narrow your cleavage. Good luck. Jonathan Staiano more

Jonathan J Staiano, MBBS
Birmingham Plastic Surgeon

Breast Augmentation Revision

Thank you for the question and pictures. Preoperative pictures would also be interesting; I would not be surprised if you started with constricted/tuberous breasts (prior to surgery). I think you will benefit from revision breast augmentation surgery. This procedure may involve reaugmentation with larger breast implants and use of different volumes to improve symmetry. The breast implant pockets may be adjusted to improve the cleavage area as well. Internal suturing... more