Breast augmentation 3 months ago. 400cc Silicone under the muscle. Moderate plus implant. They do not look right. I saw my Plastic Surgeon a month ago and he advised me to see what happens by 6 months. The deformity has gotten worse since I saw him. I just don’t know what to do. Breast Aug June 7th.
September 18, 2018
Answer: Post Op Double Bubble and Bottoming Out Hi Callmefancy99, Thank you for the question and the photo. I understand your concern. Bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery. Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies. Though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired. If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
September 18, 2018
Answer: Post Op Double Bubble and Bottoming Out Hi Callmefancy99, Thank you for the question and the photo. I understand your concern. Bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery. Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies. Though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired. If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
September 18, 2018
Answer: Breasts Yes, you do have a double bubble deformity. This is due to you having a mild version of a constricted breast, where the lower pole skin is tight and the nipple/areola is slightly herniated. With the implant, the inframammary fold was lowered but your natural fold is tight and still visible. The correction would involve recreating your natural fold with sutures. A periareolar lift may also be indicated.
Helpful
September 18, 2018
Answer: Breasts Yes, you do have a double bubble deformity. This is due to you having a mild version of a constricted breast, where the lower pole skin is tight and the nipple/areola is slightly herniated. With the implant, the inframammary fold was lowered but your natural fold is tight and still visible. The correction would involve recreating your natural fold with sutures. A periareolar lift may also be indicated.
Helpful