Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA. (photos)

Question

I had BA about a year & a half ago. Within 2 months I noticed my right breast had dropped below my natural crease. I consulted w my PS and he suggested leaving my left implant in under the muscle & move my right implant over the muscle. I am wondering if it’s normal or if it would just be worth it to have both placed over the muscle.Also, I work out 6 days a week. Usually 15% body fat so I am worried about the appearance of rippling w over muscle

Martin Jugenburg, MD · Answer

Thank you for your question. Please follow up with your plastic surgeon about your concerns. Regards,

Robert M. Tornambe, MD · Answer

Mr224.  Breast Augmentation revision can be complicated and best advice given after thorough examination.  Not sure if you have double bubble of animation deformity, but in either case revision should be done on both sides for better symmetry.  Even though you are thin, placement of silicone implants over the muscle should not be a problem.  Thoroughly discuss your options with your plastic surgeon.  Good luck!

Daniel Barrett, MD · Answer

Hi Mr2244, 
  
Thank you for the question and the photos. I understand your concern. Based on your photos, it appears that you have developed bottoming out of your implants.
  
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. 
  
If you are concerned, please check it with your plastic surgeon. This way, your plastic surgeon can discuss further the best approach to resolve your concern. 
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery 
  
Member, Am. Society of Plastic Surgery

Darryl J. Blinski, MD · Answer

Sorry fr the severe animation deformity with double bubble effect plus asymmetry. Only in person examination waked allow a determination of exact operations o offer in this scenario.

Mel T. Ortega, MD · Answer

As you said, you have a double bubble and breast implant  bottoming appearance after your revision surgery. A double bubble is a cosmetically unfortunate condition for patients with breast implant, which happens when the breast neglects to go up against the state of the implant, bringing about the presence of a noticeable line demonstrating a partition between the base edge of the implant and the base edge of the normal breast. double bubble deformations might be all the more obvious when breast implant have bottomed out. Please follow up with your surgeon.Best of luck!

Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA. (photos)

Answers (9)

Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA.

Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA.

Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA. (photos)

Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA. (photos)

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Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA. (photos)

Answers (9)

Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA.

Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA.

Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA. (photos)

Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA. (photos)

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Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.