Subpectoral to Subglandular to Help Double Bubble?

asked 2 years ago by vophsi12 in jacksonville
Latest answer by Steven Wallach, MD
Question viewed 3,450 times
Tags: age 25-34, 400-449cc, double bubble, subglandular, subpectoral

I am 6 weeks post breast augmentation. I went subpectoral, style 20-400ccs, natrelle silicone gels, inframmary crease incision, although my crease was lowered to provide more adequate skin length between nipple and fold. I had what I assume was some ptosis of the breast because all doctors who have seen me say I had a very mild case of tublular distortion. I requested a more full (rounded teardrop) shape. I am 29, 5'8, 155-160lbs. I am unhappy with final result as I have double bubble and pointy breasts with no lower fullness. Should I revise? Larger implants, subglandular?

10 answers to Subpectoral to Subglandular to Help Double Bubble?

Subpectoral to Subglandular for Double Bubble?

Wait 6 months or more for your implants to settle to decide if a dual plane release or subglandular position is neccessary. Your will probably need a left capsulorraphy to raise the left fold and correct the double bubble.

Daniel J. Casper, MD
Los Angeles Plastic Surgeon

www.drdanielcasper.com

Double bubble

Lowering the fold causes the double bubble. You will need to wait a few months and then the surgeon will need to go back in and raised the fold back up.. You may want to consider smaller implants as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

A definitive and immediate solution is to transfer the implants to the subglandular plane

The attempt to lower the position of your left breast fold with the implant in the submuscular position is the reason the double bubble developed. The most straightforward approach to correcting this problem is to reposition both implants in the subglandular position. The only drawback to this procedure is if you did not originally have adequate breast tissue by itself to cover the implant. If you do not have sufficient tissue the subglandular positioning could result in another problem of... more

David A. Ross, MD
Chicago Plastic Surgeon

Double Bubble Deformity

At this point you need to wait until you are about 4-6 months postop. I would say that you have tuberous breast deformity and that the native breast tissue was not scored enough and that possibly the implants were place behind the muscle, instead of dual plane or subglandular. See how things look in about 4-6 months, at that point if you are unhappy then a revision surgery can be performed. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Tuberous Breast Deformity and "Double Bubble"

A review of your BEFORE pictures would very likely demonstrate pre-existing breast asymmetry, constricted / tuberous breasts with large areolas. This presentation is notoriously challenging to correct to a completely normal, attractive breast. the Double Bubble deformity is a reflection of incomplete release of the fibers constricting the breasts resulting in retained "memory" of the former breast shape with inability to curve over the implants and present the shape imparted by... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Double bubble and tuberous (tubular) constricted breasts following implant augmentation

In some instances this can be repaired with an approach called the biplanar. In this surgery, the implants are kept in the submuscular pocket but surgery is performed above the muscle to release the parenchyma and breast gland with radial relaxing incisions to allow the tissue to become more full and rounded. Your crease is low and it may require a caspsulorrhaphy. Generally I prefer to wait for 4-6 months following the intial procedure prior to performing revisions.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Revision breast augmentation in Manhattan.

Hi. Based on the one picture, you probably need : 1) Correction of tubular deformity by releasing lower breast tissue and a modified breast lift to make your areolas smaller. 2) Putting slightly smaller breast implants over the muscle. 3) Raising the fold under your left breast.

George J. Beraka, MD
Manhattan Plastic Surgeon

Tough starting points from breast augmentation

While they don't want to hear it, it is important for some patients to understand that they have a tough starting point and can't have as easy an experience or result from a breast augmentation as others with better starting points. You needed to hear that before surgery so you would be more patient now with the recovery. Give it 4-6 months and then see where you are. Rushing into an early revision would be a mistake.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Double bubble breast deformity

I would suggest waiting a bit longer prior to making any decisions about revision. You do seem to have a double-bubble, on the left side in particular, but only your surgeon would be able to determine if this is from the thick tissue seen in tuberous breasts versus a true double-bubble. It's important to make this distinction, because this will determine what, if any, treatment would be appropriate. I suggest seeing your surgeon on a regular basis and voicing your concerns... more

Nina S. Naidu, MD
New York Plastic Surgeon

Correction of a double bubble deformity

You are early in your recovery phase but it appears that your left implant is lower than the right and there is a change consistent with a mild tuberous deformity. I personally don't feel that you would need to jump to changing to back to above the muscle. I think you need to allow some time for healing but you would benefit from 2 things; 1. raising the implants and the folds from inside suturing and; 2. a dual plane release of the muscle inside with possibly some scoring of the tissue... more