Implant is lower than breast. How do you correct this ? Silicone, under the muscle implant 400cc (photo)

Doctor Answers 8

Bottoming out or double bubble after 400 cc silicone gel breast implants

Thank you for your question.  I'm very sorry to see that you're implant has dropped beneath your breast.

Fortunately this can easily be corrected by reestablishing the inframammary crease the crease beneath your breast however this is a surgical procedure.  Please contact your plastic surgeon for an examination and understand that you will need a surgical procedure to correct this.

Implant too low

Thank you for your breast implant question.

  • The photo suggests the possibility that the implant is moving low
  • But a face-to-face exam by your surgeon is essential to figure out what is going on
  • If the implant has moved below the breast crease, it will continue to move down
  • This has to be corrected with surgery.
Hope this helps. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Double bubble

Revisional surgery to tighten the implant pocket would be required, unfortunately.  This can only be corrected surgically.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Implant is lower than breast. How do you correct this ? Silicone, under the muscle implant 400cc (photo)

This is a minor form of "bottoming out" Best to have revision surgery to correct. Discuss with your surgeon... 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Implant visible below breas

Your appearance is consistent with a double bubble deformity from the implant in a position below the inframammary fold. The appearance may improve if in the early post op period, but further out would require a procedure to reposition the fold superiorly.

David A. Bottger, MD
Philadelphia Plastic Surgeon
4.9 out of 5 stars 57 reviews

Revision Surgery

I agree you have a double-bubble where the implant has descended below IMF.  I wouldn't necessarily exchange the implant though if is many years old (>10) I would recommend an exchange.  The IMF can be repaired with sutures and possibly a dermal replacement graft.  Best wishes. 

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 52 reviews

Double bubble?

Looks like you might have a double bubble. How long since surgery are you?  If early it may stretch a bit, but likely a revision will be necessary.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Surgical revision might be necessary

.The information provided by the photograph is inadequate to make any pronouncement. If the infra mammary fold is violated in the implant ends up situated too low on the chest wall only surgical revision can solve the problem.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 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.