Switching from submuscular to subglandular? (photos)

Hello,It appears your breasts were different in appearance from each other before surgery, with one with a higher inframammary crease and tighter tissue envelope. That is why one has a double bubble and the other doesn't but instead has suboptimal nipple position. Changing to a subglandular position may or may not help, but you can expect new problems like rippling and implant palpability. If your surgeon isn't a ABPS certified/ASAPS member surgeon who specializes in revision breast surgery, you should seek out a second opinion with a few who are.Best of luck!

Dear sbxoI agree that switching to a subglandular plane will likely resolve your lower pole deformity and your flexion motion deformity. Keep in mind that your upper pole transition might become more noticeable and discuss that issue with your surgeon.  

You have an unfortunately common problem caused by the dual plane technique for submuscular placement. Because the muscle is detached, it heals onto the scar capsule where it pulls causing both the double bubble and the flexion deformity. I prefer to correct this by converting to the split muscle plane, which restores muscle function by re-attaching it behind the implant, but leaving the upper portion of the muscle in front so that the contour is more natural. If you decide to have it corrected by placing the implants subglandular (subfascial is another option) then be sure your surgeon re-attaches the muscle. There are several examples and articles about the split muscle procedure on my website.

From your photos, it appears that the double bubble crease needs extensive release and probably consider  repositioning of the implant to the submammary plane from the sub pectoral plane. This has been helpful in my practice when such discrepancy is a problem.

Yes one of your options is to switch from submuscular to subglandular position of the implants. Any good breast surgeon certified by American Board of Plastic Surgeons should be able to do that. I have done this on a couple of instances for the same reason and it solves the problem.  I would recommend you have form stable silicone implants for this.  You don't have a lot of soft tissue coverage and a saline implant will probably show ripples.