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
Answer: Double bubble Thank you for your question. Please follow up with your plastic surgeon about your concerns. Regards,
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Answer: Double bubble Thank you for your question. Please follow up with your plastic surgeon about your concerns. Regards,
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November 19, 2017
Answer: Breast Augmentation Revision 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!
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November 19, 2017
Answer: Breast Augmentation Revision 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!
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November 18, 2017
Answer: Post Op Concerns - Bottoming Out 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
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November 18, 2017
Answer: Post Op Concerns - Bottoming Out 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
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November 17, 2017
Answer: Double bubble - silicone over the muscle. Should I go under the muscle? I am sorry to hear about your concerns after breast augmentation surgery. As you state, 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. In my practice, this type of repair involves a two layer, permanent suture repair (reconstructing the inframammary fold areas). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation. 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. Best wishes.
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November 17, 2017
Answer: Double bubble - silicone over the muscle. Should I go under the muscle? I am sorry to hear about your concerns after breast augmentation surgery. As you state, 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. In my practice, this type of repair involves a two layer, permanent suture repair (reconstructing the inframammary fold areas). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation. 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. Best wishes.
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November 25, 2017
Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA. 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.
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November 25, 2017
Answer: Double bubble - silicone over the muscle. Should I go under the muscle? 1 1/2 year post BA. 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.
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