Have my implants bottomed out or formed a double bubble? (photos)
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Doctor Answers 10
Silicone implants do not solve animation of submuscular breast augmentation.
The middle photograph shows a breast contour that reminds me of a constricted breast that wasn't identified and corrected at the time of the initial surgery. The only way to know for sure is to actually examine your breast (preferably prior to your initial surgery) and evaluate for the typical signs of constricted breasts.
Bottoming out and Side Boobs Contributing Factors:
- Larger/Heavier Implants
- Implants placed above the pectoralis muscle
- Chronically not wearing a bra when upright
- Over dissection of the Implant Pocket
- Smooth Implants
- Large swings of weight including pregnancy
- Skin and soft tissue laxity, loss of elasticity
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Inframammary crease reconstruction
Dr Rodger Shortt
Oakville Plastic Surgeon
Assistant Clinical Professor &
Director of Cosmetic Surgery Training,
Bottoming Out / Double Bubble?
You do have a significant amount of bottoming out, and the correct repair is the Internal Bra, my strong permanent internal suturing technique which lifts and supports your implants position. It is the most common type of revision I perform, 5-6 times a week- it works and it lasts!
You also have quite a wide gap and very little upper pole fullness which will be addressed during your correction.
I have attached a link to my Bottoming Out / Internal Bra / Breast Augmentation Revision photo gallery for your review- hope it helps!
Breast augmentation - am I bottoming out
- I am so very sorry you have had such a problem with your breast implants.
- Your photos certainly suggest that your implant may be bottoming out -
- This is usually from weakening of the infra-mammary crease - so the implant slides low on the chest.
- Whether the implant is above or below the muscle, fixing a double bubble requires recreating the normal bresat crease.
Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
Have my implants bottomed out or formed a double bubble?
It looks like you have "double bubble" and breast implant bottoming appearance after your revisionary surgery. A "double bubble" is a cosmetically undesirable circumstance for patients with breast implants, which occurs when the breast fails to take on the shape of the implant, resulting in the appearance of a visible line showing a separation between the bottom edge of the implant and the bottom edge of the natural breast. Double bubble "deformities" may be more striking (visible) when breast implants have bottomed out.
There are several options when it comes to revisionary surgery to improve your outcome. One option is to eliminate the pull of the pectorals major muscle either by completely releasing it or by suturing the muscle back down, thereby placing the breast implants in the sub glandular position. Patients who choose to have breast implants placed in the sub glandular position should have enough breast tissue coverage to allow for this conversion. There are disadvantages of placing breast implants in the sub glandular position (such as increased risk of breast implant encapsulation) which should be considered as you make your decisions.
Another maneuver that may be helpful is raising the inframammary fold using capsulorraphy techniques. Sometimes, depending on factors such as quality of skin along the lower breast poles, additional support provided by acellular dermal matrix or biosynthetic mesh may be very helpful. I have also found the use of acellular dermal matrix very helpful in cases where the skin/tissues are very thin and in cases of recurrent breast implant displacement. The acellular dermal matrix helps improve contour, improves irregularities caused by the underlying breast implant and/or scar tissue, and provides additional support ("sling" effect) for the breast implants.
I hope this, and the attached link, helps.
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.