How do I fix my double bubble, dropout, and muscle detachment?

I've had two surgeries by the same doctor. The first one was a standard breast aug and the double bubble that was created can be seen in my other posts. The second surgery consisted of my doctor basically just cutting my 'double bubble line' to 'release the tissue'. The double bubble has gotten better but is still there. My breast continue to bottom out and what I assume is a muscle detachment on my left breast. I have tingly/painful sensations in both breasts.

Doctor Answers 5

How do I fix my double bubble, dropout, and muscle detachment?

I am sorry to hear about/see the problems you are having after breast  surgery. I think your concerns are appropriate; your breast implants do seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”).



It is possible that you are feeling the implants significantly along the lower poles of the breasts. Patients in your situation often complain of discomfort in the area of implant malposition. Also, consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low. 



I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. 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. In your case, the use of acellular dermal matrix may also be very helpful when it comes to correction of the breast implant rippling in your cleavage area.



Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with revisionary breast surgery. 

I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.

Revision Breast Surgery

Hello,

From your description of the revision surgery, there was little understanding on your surgeons part of the cause of the double bubble. Please visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery.  Be prepared for paying for new, smaller implants, and either mesh or  an ADM to repair your inframammary fold and pectoralis muscle. 

Best of luck!

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 79 reviews

Double bubble

Thank you the question and photos and the good news is that there are several ways to fix your problem.  So go on some complimentary consultations with experts in your area and become informed.  Be sure to look at photos of patients with similar problems to yourself


Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 60 reviews

Repairing a double bubble

There is more than one way to correct your problem - all of them require a revision surgery to reposition the implant back into it's normal location and fix the "crease" in the lower pole of your breast.  Discuss your options with your surgeon, and if you don't feel confident with the answers you get from him/her, obtain a second opinion by another surgeon with experience in secondary cosmetic breast surgery.

Jason J. Hall, MD, FACS
Knoxville Plastic Surgeon
5.0 out of 5 stars 10 reviews

Repairing a double bubble

In order to correct this problem, the inferior pole must be repaired. This can be done with a capsulorrhaphy, where the lower part of the implant space is closed, lifting the implant back into a better position. Alternatively, a supportive mesh can be placed over the repair to bolster it further. This is somewhat of a temporary foreign body where there may be a slightly higher risk of infection or fluid collection and it may add a significant cost to the procedure. Discuss the options with your surgeon.

Gustavo E. Galante, MD
Schererville Plastic Surgeon
5.0 out of 5 stars 52 reviews

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.