I have 700cc implants that were placed 2 months ago. I developed double bubble, and my doctor just told me today that it happened because my breast tissue was not strong enough to hold such large implants. He wants revise my pockets using a suture technique. But how reliable is this technique and what is the probability the double bubble will form again? Would it help if I reduce my implant size for, let's say, 600cc instead? I love my 700cc size but I am very afraid double bubble can come back!
Answer: Eliminate double bubble
Helpful 1 person found this helpful
Answer: Eliminate double bubble
Helpful 1 person found this helpful
August 14, 2018
Answer: Suture technique to fix double bubble: how reliable is it? Should I reduce my implant size to make sure it will work? Based on the photos it looks like you have bottomed out but I do not see a true double bubble. The efficacy of suture capsulorrhaphy depends on the surgeon to be honest. It can be reliable in some people's hands and not in others. If you want to be certain that it will not drop again then you may want to consider having an internal bra procedure performed using alloderm or gala flex mesh. If you are not 100% convinced in your own surgeon's plan then I would suggest having an in-person consultation by a local breast implant revision expert to be properly assessed. Hope that helps!
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August 14, 2018
Answer: Suture technique to fix double bubble: how reliable is it? Should I reduce my implant size to make sure it will work? Based on the photos it looks like you have bottomed out but I do not see a true double bubble. The efficacy of suture capsulorrhaphy depends on the surgeon to be honest. It can be reliable in some people's hands and not in others. If you want to be certain that it will not drop again then you may want to consider having an internal bra procedure performed using alloderm or gala flex mesh. If you are not 100% convinced in your own surgeon's plan then I would suggest having an in-person consultation by a local breast implant revision expert to be properly assessed. Hope that helps!
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August 13, 2018
Answer: Redo breasts augmentation Hello again Zumba lover, Thanks for posting your pictures and sorry for your problem. From observing your pictures, your breasts implants have bottomed out. I do not see double bubble deformity, however the corrective maneuver is the same - inferior capsulorrhaphy (internal bra). There is the possibility that you have superior capsule contracture and most likely, you will need superior capsulotme (scar release) , to allow the implants to move upward and reduce the pressure on the new crease. There are different techniques for capsulorrhaphy, as you can read about in the doctors responses. My technique involves excision of a scar sleeve from the capsule at the crease and suturing the edges of the wound with multiple interrupted strong permanent sutures, which allow for new capsule to form at the higher position. My patients are instructed to wear bra with wire for 3 months. As far as your implants size, you can keep your 700 cc size as long as you follow the above mentioned steps. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking. Best of luck, Dr Widder
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August 13, 2018
Answer: Redo breasts augmentation Hello again Zumba lover, Thanks for posting your pictures and sorry for your problem. From observing your pictures, your breasts implants have bottomed out. I do not see double bubble deformity, however the corrective maneuver is the same - inferior capsulorrhaphy (internal bra). There is the possibility that you have superior capsule contracture and most likely, you will need superior capsulotme (scar release) , to allow the implants to move upward and reduce the pressure on the new crease. There are different techniques for capsulorrhaphy, as you can read about in the doctors responses. My technique involves excision of a scar sleeve from the capsule at the crease and suturing the edges of the wound with multiple interrupted strong permanent sutures, which allow for new capsule to form at the higher position. My patients are instructed to wear bra with wire for 3 months. As far as your implants size, you can keep your 700 cc size as long as you follow the above mentioned steps. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking. Best of luck, Dr Widder
Helpful
August 12, 2018
Answer: Suture technique to fix double bubble I am sorry to hear about your concerns after breast augmentation surgery. One of the most common complications after breast augmentation surgery is implant malposition. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).
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August 12, 2018
Answer: Suture technique to fix double bubble I am sorry to hear about your concerns after breast augmentation surgery. One of the most common complications after breast augmentation surgery is implant malposition. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).
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August 13, 2018
Answer: Bottoming out Based on your pictures, it appears that you don't have a double bubble but the implants have bottomed out. This can happen when your tissue can not support the weight of the implants. In my practice, I revise and re-enforce with Galaflex as an internal bra. Has worked well especially with such large implants as what you have in place. Good luck.
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August 13, 2018
Answer: Bottoming out Based on your pictures, it appears that you don't have a double bubble but the implants have bottomed out. This can happen when your tissue can not support the weight of the implants. In my practice, I revise and re-enforce with Galaflex as an internal bra. Has worked well especially with such large implants as what you have in place. Good luck.
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