Double Bubble or Swelling? (Photo)
Doctor Answers 5
Please keep in mind that these are just photographs, and a very important history and physical has not been performed, nor do we have the benefit of knowing your appearance prior to surgery or what happened during surgery, so an accurate assessment of the problem may be impossible in this forum. Having said that, I disagree with my colleagues regarding your concern. What else could be more than an inch below your natural inframammary fold? If you push on it and it feels like an implant, then it is not likely swelling, and it's not going to 'get better', and may perhaps get worse. Additionally, the upper pole of that breast is lower and not as full, indicating a lower implant position and a probable drop out/double bubble.
Unfortunately, the potential for disturbing the inframammary fold and creating double bubble is a very real possibility in the situation of a remove and replace surgery where the implant size has virtually doubled. It is likely that your breast tissue and skin envelope on the side with the problem was always tighter and more tightly elastic. When the new implant was inserted there was limited expansion of the tight tissues, which in turn forced the inframammary fold to lift and the chest skin to be 'recruited' in order to accommodate the larger implant dimensions.
I am so sorry that you have gotten this problem, however for the benefit of women considering breast augmentation, you are an example of one of the most common issues associated with breast augmentation: complications associated with improperly sized implants. There are very real limitations to breast augmentation surgery, and as a potential patient you should not assume you can get the same thing as your friend or someone you saw on line. Breast augmentation is best performed by highly skilled surgeons with a real interest in anatomic analysis of the individual to determine the best implant size for that patient. Unfortunately surgeon inexperience, or more likely economic pressures to never say 'no' to a patient can lead to these kind of problems.
I sincerely hope this resolves in a satisfactory way for you. If however you need a revision surgery, it is more important than ever to go to a real expert in cosmetic breast surgery.
Best of luck!
Post-op questions and concerns
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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.