Is It Window Shading with Double Bubble or Bottoming out and Ptosis?

Pre-op:very mild ptosis & lacked volume from breast feeding. Surgeon discouraged me from getting a lift & told me to get overs. During surgery he said overs looked bad & did unders.Post-op left breast hurt verrrrry much & looked snoopy-like. My left breast just keeps getting worse & every time my muscle contracts my breast tissue goes up & the implant moves laterally & down,it so much hurts everyday!How do you fix this? My surgeon doesn't seem to want to mess w/ it nor will I let him personally.

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8 Doctor Answers | Asked by MBear86 in Millstone, NJ

Doctor Answers (8)
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Breast revisionary surgery

Your situation is complex and I am unfortunately not able to give you good advice without direct examination. Its in your best interest to be seen by a board certified plastic surgeon with extensive experience with breast augmentation revisionary surgery. Revisionary surgery is necessary to help improve the appearance of your breasts and may help relieve the pain and discomfort you are describing. On this site, I do my best to give advice without a physical examination but I want you to... more

Is It Window Shading with Double Bubble or Bottoming out and Ptosis?

Even with the posted post operative photos I am afraid you need a staged revisions. Stage I - removal of the implants and allow healing or I might do a L-shaped mastopexy. Stage II - implant insertion, I think sub muscle OK but need to examine. Stage III - any revisions.

Window shading and double bubble

Mbear, You have quite a complicated and difficult problem. You will need a breast lift on both sides along with release of your breast tissues and possibly reconstruction of your inframammary folds. Perhaps its time for a second opinion. Good luck! see video

Breast problems

You are definitely getting window shading of the muscle upon flexion. AS for bottoming out, it is hard to say without an exam. The photos are helpful but do not give the complete story.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

I would suggest implant removal and staged reconstruction

I would suggest bilateral implant removal, reattaching the pectoralis muscle and then waiting few months before next stage. The second surgery would involve lift and fat grafting. If you want to be C or D then the third surgery would involve implant placement or more fat grafting. Unfortunately you had difficult case to begin with and the surgery made it more complicated. I have taken care of patients with your problem and you can check my web site for pictures.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Fixing double bubble/animation deformity

What many patients don't realize is that with the standard dual-plane technique for placing implants under the muscle, the part of the muscle that attaches to the rib cage is cut so that it can slide upa dn open a space for the implant; the cut muscle then heals into the scar capsule as it forms, so when you flex it causes the windowshading that your pictures demonstrate. Often the level where the muscle attaches forms a visible groove across the bottom of the breast which is called a... more

Correction of post op bottoming out and ptosis

Dear Mbear, Correction of your bottoming out, ptosis and asymmetry can be challenging. I have several questions for you,1)how long ago was your surgery, 2)what size and type of implant 3) what were your size and shape goals before the surgery. Your pictures are very helpful, but there is no substitute for an examination. There are several things that need to be done. The implants are bottomed out on both sides, and the pockets need to be ... more

Revision breast augmentation works.

Hi. 1) Unfortunately, you have everything that you mention. This is quite a difficult problem, but it can be fixed! You don't have to live like this. 2) Of course I am just going by your pictures, but my first instinct is that you are one of the rare patients that is most successfully done in two stages. First, the implants are removed and everything is allowed to heal and stabilize for six months. Then, you can start fresh with a combination... more