Have I got tubular breast deformity or is this a drop and fluff thing and I just need to be patient? (photos)

Question

I had 450 cc implants under the muscle 6 weeks ago. I since believe I needed a lift and I have also been told I look like I have tubular breast deformity TBD. Is this just a case of needing to wait for them to drop more or do you think there is a problem here? My doctor told me the implant would fill the breast and so no need for a lift. But they just don't look ok. The right one almost looks like it has a double bubble.

Nelson Castillo, MD · Answer

Thank you for your question and series of photographs.  You may have needed a breast lift at the time of your augmentation but it is something that you can pursue in the future if your current results are unsatisfactory.  At six weeks your implants still have a fair amount of healing to go for their long-term results, so be patient and see what they look like at 6 months.  If you desire a breast lift or are unhappy with their appearance talk to your surgeon and review the original plan.  Adjustments can then be made to get you the results you desire. Hope this helps.

Deborah Sillins, MD · Answer

It is still very early in your healing process. It takes 4-6 months for the implants to drop. You may need a lift but it is best to wait and see how things shape before having to make additional scars on the breast.

Christian Subbio, MD · Answer

I agree, you need a lift.  Ideally, this should be done with a circumareolar pattern to reduce your nipple , raise it, and flatten it against the implant.  As well, your right inferior pole needs releasing so it can expand out and accept the implant better and allow it to fall into place.  Yes, I would wait several months to see how this progresses and changes over time, but given the current appearance, I suspect that even with the passage of time these issues will not resolve to your liking.  Keep in close contact with your plastic surgeon, and wait for several months before you pull the trigger to make any revisions.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Martin Jugenburg, MD · Answer

You are still very early
in the post-operative period. It typically takes 3 - 6 months for the swelling
to subside and implants to settle into proper position. Swelling usually
accounts for 10 - 15% of the initial post-operative appearance. The implants
may swell asymmetrically. Please discuss your concerns with your board
certified plastic surgeon. Also, make sure you follow all of your plastic
surgeons post-operative instructions regarding level of physical activity and
use of a support bra.

Regards,

Robert H. Hunsaker, MD · Answer

While it is certainly possible you may desire a lift in the future, because your surgeon considered that and "rejected" it there is reasonable likelihood that when all the "settling" has occurred you may be "happy enough" without one. Worst case scenario, you gave yourself every opportunity to avoid one so if it is warranted you can be sure it is the proper decision and "worth" the added scars. AND - actually it IS safer and more predictable to separate the surgeries - most patients just will not wait.

Gordon M. Telepun, MD · Answer

Kat,I am not sure your pre-operative photos show that you have a real tubular breast deformity.  I think you just had some ptosis and a tight inframammary fold.  I would wait a bit longer for you present surgical result to relax, but I think a donut mastopexy is going to be in your future.Thanks,Dr. TelepunDecatur Alabama Plastic Surgeon

Have I got tubular breast deformity or is this a drop and fluff thing and I just need to be patient? (photos)

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