Why is happening to my left breast? (photos)

Question

I had BA/BL 4 months ago in which my crease was moved a lot further down. It has shown the slight shadowing since about week 2 when swelling went down. While my right breast is dropping and forming a nice crease, the left breast isn’t at all and is now starting to form a bubble and doesn’t seem to have much shape at all. What could this possibly mean? Thank you

Gregory T. Lynam, MD · Answer

Your surgeon elected to lower your fold and when this is done the old fold often can be seen and if the implant settle further then  you get the result you have now. One can go back in and release some of the old fold and repair the current fold to a higher fold with sutures usually but occasionally  a supporting tissue matrix is needed which ads about 2500$. Let us know what you and your doctor decide to do please.

Daniel Barrett, MD · Answer

Dear  KG2302,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Juan A. Brou, MD · Answer

Dear KG2302, what you have is called a double bubble deformity.  This was caused by your surgeon's attempt to lower your inframammary crease which was necessary to round up your breasts. Originally the distance between the lower edge of your areola and your crease was very small (which is called a constricted or tight lower pole) It worked very well on the right side but not on the left.  Fortunately this is correctable and your surgeon should be given the opportunity to do this for you at a special price or no price at all (that's between you and him/her) If you loose confidence on your surgeon then you should get more opinions before you commit to correction.

Daniel Brown, MD, FACS · Answer

Hello and thank you for your questions and photos.  Unfortunately you seem to have just had a very poor technical procedure performed with the poor result that goes along with it.  I'm sorry to say that you will likely need a revisionary procedure from a surgeon that has experience with difficult revisionary breast surgery.  A new fold can be recreated but it is a much more difficult procedure than the initial surgery.  I would recommend that you seek a consultation with a different plastic surgeon in your area who is board certified and experience with breast revision surgery.Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember, American Society of  Plastic SurgeonsCastle Connolly Top DocReal Self Top 500

Erez Sternberg, MD · Answer

Such blunting of the lower fold can occur when an attempt is made to lower the fold and make it even with the other side. If the fold was lowered and then secured with suture it could eventually round out, however, after 4 months I would’ve already expected this to have happened. At this point, it would be best to discuss with your surgeon and see what the options are. A fold revision on that side could be considered.

Thomas J. Lee, MD · Answer

Thank you for your question.  Based on what I can see from the photos there is a difference in the position of the inframammary fold between the two breasts.  This can be a problem with the fold itself or with the capsule surrounding the breast.  I recommend getting reevaluated by your plastic surgeon and discuss your goals and concerns to see what options are available to you.  Many of these options may require a trip back to the operating room.

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!From your photo, it appears that the left pocket may have drifted slightly downward, blunting the angle from breast to chest wall. If of concern to you, a revision to lift the inframammary fold slightly could be considered.  15% of cosmetic surgeries require a secondary touch up.Continue followup care with your plastic surgeon.Best wishes...

Marc J. Salzman, MD, FACS (retired) · Answer

From your photographs, you have what we would call “double bubble”. A double bubble forms usually when some attempt is made to place an implant whose base diameter vastly exceeds that of the native breast thus necessitating a lowering of the fold. When the attachment of the skin fold remains attached to the muscle fascia, and the implant is in a plane lower than that, two bottoms appear. The upper one is where the old crease was. The lower one represents the bottom of the implant. The repair of the situation will oftentimes necessitate removal of the large implant and placement of a smaller base diameter implant, usually with the addition of some type of an ADM such as Strattice or Galaflex.Sometimes it's possible to just reinforce the bottom of the pocket with the native tissues that are already there by creating a flap over the bottom of the pocket and fascia overlying the muscles. Your plastic surgeon will be your best resource here. Hope that is helpful.

Why is happening to my left breast? (photos)

Answers (8)

More Breast Implants Questions

Would a moderate profile or tear drop implant be better for me? Is a smooth implant safer than a textured? (photos)

Low-Plus better than Moderate Profile for smaller implants?

Is 400cc too big for my petite body? I'm 5'1"

Motiva vs Sebbin - Do any of you have an opinion when comparing Motiva and Sebbin?

Can I have breast augmentation surgery if I have thalassemia?

Can cortisone injections into keloid scar from breast aug cause skin to thin to the point where implant can break through skin?

WE SEND PRETTY
EMAILS