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Bulge After Breast Implants - What Would You Do?

asked 1 year ago by LookingForAnswer2011 in Lansing, MI
Latest answer by Tom J. Pousti, MD
Question viewed 1,809 times
Tags: 400-449cc, bulging, dual plane, inframammary, moderate plus profile

400cc, Mod+, IMF crease, 2 wks. ago. Dual plane. Bulge evident under left breast imm. after getting home :( Not dbl. bbl., implant creating the bulge, not my tissue. Right implant is falling down now, lots of pressure/pain at crease & incision moving up on right bst. Would love answers on best way to revise? Was my pocket over-dissected? Strattice? Am going back to my surgeon to talk, but will want expert in revision to do the surgery. Won't have nipple incision, sag better than scar (to me).

14 answers to Bulge After Breast Implants - What Would You Do?

Double Bubble after surgery.

The photographs demonstrate a double buble worse on the left. I advise my patients that a) the breasts are not symmetrical during the healing process and b) the breasts have a different appearance at 2 weeks and at 12 weeks. Be patient. Let the healing process take its course. Speak to your surgeon about massage as this my stimulate further healing. I respect your desire to limit your scars, and suspect your surgeon opted for bigger implants because you didn't want a lift.That being... more

Beverly Friedlander, MD
Short Hills Plastic Surgeon

Postoperative care following breast augmentation deformity

While the temptation is to rush to immediate revision, most deformities following breast augmentation improve with time. The photos demonstrate a double bubble deformity with the pocket dissected below the fold and insufficient release of the inferior breast tissue. Two problems need to be approached. First, try to stabilize the inframammary fold by wearing a great supporting underwire. Second, you need to try to stretch the remaining breast tissue to... more

Glen Brooks, MD
Springfield Plastic Surgeon

The lower bulge is a double bubble

The bulge you see under your breast is the implant extending below the breast fold. The breast is lifted on top of the implant and the picture is typical of a 'double bubble'. Early revision may be able to reset the fold but it may be best to wait and let the skin envelope relax and see if it will conform to the implant. A snug under wire may help in holding the breast fold in place. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Double bubble

It looks like you have a double bubble. A conforming bra may help "stick" the fold a bit and soften the problem. But in all likelihood you will probably need a revision. You may want to go with smaller implants and it looks like on the left you need a small lift.

Steven Wallach, MD
Manhattan Plastic Surgeon

You have a double bubble deformity

Your photos show a classical double bubble deformity. Your IM crease was lowered and this is why the deformity occurred. You might try wearing a tight underwire bra to push the implants up and hope the crease re-tightens in its normal position but there is a high likelihood you will need a revision.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

Breast Revision

At two weeks, it is way to early to start thinking about revision. It takes three to six months for the swelling to resolve and the tissues to completely settle. In many cases, you will be quite surprised how nice the breasts look after this time. However, if there are still issues, then the best option is to discuss your concerns with your original surgeon. If he/she does not feel comfortable with revision surgery, then hopefully they can refer you to another surgeon... more

David Shafer, MD
New York Plastic Surgeon

Causes and correction of double bubble problem with breast implants

The pictures show what appears to be a "classic" double bubble problem. You are correct in assuming that fixing it requires expertise, though it is possible that your own surgeon is capable. The fold across the bottom of the breast is where the original bottom edge of the breast was, and if it wasn't lowered then the implant would be too high. Fixing it would involve one of several options depending on each case; one of the most useful is converting to the split muscle plane... more

Richard Baxter, MD
Seattle Plastic Surgeon

Double Bubble after Breast Augmentation

Dear LookingForAnswer2011 in Lansing: The fold on the lower inner aspect of the breast is most likely your original inframammary fold (IMF). The bulge under it is from the implant. This can be caused by incomplete release of the (IMF), or placement of the implant too low on the chest. Since you are only two weeks after surgery, the best course of action is to allow your breasts to heal. The fold may improve with time, but even if it does not, you will have a better chance at... more

Joseph Mele, MD
Walnut Creek Plastic Surgeon

Bulge After Breast Implants - What Would You Do?

Thanks for the posted photos. first way to early for a revision, wait for at least 3 months. But you need release of the old inframammary crease on both sides, more on you left. Plus other surgical manipulations to the fold areas.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast augmentation revision

I agree with you that revisionary surgery will likely be necessary. Physical exam is critical to evaluate your situation precisely but based on your pictures i think that reconstruction of the inframmammary fold areas with internal sutures (capsulorraphy) will afford you the best result. Allograft is probably not necessary at this time.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Double bubble

You are too early after surgery to be planning a revision. You have to allow for the healing to take place first. During this time your breasts will adjust and change. Your double bubble problem will change. After about 3 months your problem can be reviewed. Look for a board certified plastic surgeon for a second opinion if that is what you would like at that time, or return to your original surgeon. I hope you did your research before you had the surgery... more

Martin Jugenburg, MD
Toronto Plastic Surgeon

You will need revision and breast lift

I am sorry about your experience. You are not alone and there are a lot of patients in your situation. You should had breast lift and augmentation later,but either this was not offered to you or you did not wanted to have scar on your breast. Breast implant can only enlarge the breast,but for the breast that is sagging,lift is the only solution. You will deflation of your implants,lift and placement of smaller implants or fat grafting. Check my web site for examples.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast Implants and Double Bubble

Dear LookingforAnswers2011, I am sorry that you are in this predicament. You are correct that although you are only two weeks out from your procedure, this problem will probably not improve and revision surgery will be necessary to achieve the result you were hoping for. However, revision should not be undertaken at this time. Based upon your photographs, you actually have the classic inframammary double bubble. The fullness below the crease is the... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

Bulge after breast aug, what to do.

I have to admit I find it quite interesting that you would want to find an expert in revision. It would only make sense that you would have found one already as most plastic surgeons with augmentation experience are experts in revision as well. Without seeing your pre-op photos I can't tell you what I would do. The one thing for sure I would NOT do is operate on you. You are 2 weeks out, you haven't settled yet and your breasts are still swollen. While it... more