Hello! At my recent 6 month post-op, I had double bubble in my left breast due to the implant falling too low. My right is now the same. My PS said that I need a pocket repair and possible lift to correct ptosis (looks like my real tissue is sliding off). If he decides that a lift is necessary, my question is, will I lose any size at all? I don't want to go any smaller, at all, but I don't want my tissue to look as if it is sliding off either. I would go bigger but really doubt I can afford it.
Breast Augmentation Revision for Double Bubble - Lift Question?
Doctor Answers 7
Please send your pictures
It is very hard to give you good answer without pictures. The surgery for the DB is not lift but pocket revision ,unless there were a need for lift and was ignored by the surgeon or refused by the patient.
Double Bubble revision
Breastlift for sagging breasts may decrease breast cup size, up to a cup size. It's important to consider the consequences - size, shape, scars - of going with a bigger implant vs. lift. Without photos it's hard to say. It sounds like you would benefit from a lift to center the nipple and breast tissue on the chest. Good luck!
Change in breast size from lift
Two separate issues: in general, most breast lifts by themselves do not result in significant change in breast size as very little tissue is removed during the procedure. The elevation of the fold to correct the bottoming out is a separate issue and should also not change your size. Both will change how your breast looks in a positive way. Ask to see photos of actual patients.
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Breast Augmentation Revisionary Surgery for Double Bubble?
Thank you for the question.
As you can imagine, it is not possible to give you precise advice without direct examination or,at least, viewing pictures. Based on the description of your “problem”, your plastic surgeon seems to be giving you reasonable advice. In other words, if a breast implant is displacing too low on the chest wall, internal suture repair (capsulorraphy) may be Indicated. It Is possible that further breast tissue and/or breast implant pocket manipulation will help improve the “interface” between the breast implant and your breast tissue ( to improve the appearance of the breast tissue “sliding off” the breast implant). Otherwise, some degree of breast lifting may be necessary.
It is hard to say whether these manipulations will necessarily make your breasts look different in size.
I would suggest that you communicate your goals further with your plastic surgeon. If still in doubt, additional in-person consultations (2nd opinions) may be helpful to you.
Breast Augmentation Revision for Double Bubble Deformity?
Fortunately there is a treatment for a double bubble deformity and patients typically will get a good result after a revision. Patients usually have to wait about six months after the surgery for any revision. This time will allow a capsule to form around the breast implant. This capsule that forms around the implant can then be sutured closed to correct the pocket. This will raise the implant so that the implant no longer falls bellow the fold of the breast.
Occasionally if patients have a very week capsule or have had a failed revision previously they will need to have a mesh placed internally to support the implant and prevent the implant from falling overtime.
Patients also need to be careful and follow their surgeon’s post-operative instructions, as the repaired capsule needs time to heal. If patients are too active too fast in the post-operative period the repaired capsule may not have enough time to heal.
Please discuss your surgical options with a board certified plastic surgeon that has experience in revision breast surgery.
What You Need To Know About Double Bubble
Revision for double bubble based on cause
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.