I had 445cc high profile silicone under muscle breast implants put in and feel they sag and getting double bubble What do I do?

Hi Cristinaaxo, 
Thank you for sharing your photos, Cristinaaxo. At 5 weeks post op, you are still in the early stages of the healing process and your breasts tissues are still swollen at this time. Also, your implants have not settled into their final position yet. It can take about 6 months for your implants to drop and fluff. 
Though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired.

If you are still concerned and after 6 months, you are still not satisfied with the outcome of your breast augmentation surgery, you should visit your plastic surgeon for further assessment and to discuss your options for breast revision surgery. 
Daniel Barrett, MD, MHA, MS
Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery 

Member, American Society of Aesthetic Plastic Surgery

It does appear that you have a mild double bubble.  However, you do not have any signs of drooping.   A double bubble can occur when you have very dense breast tissue along with a higher crease on one side that needs to be lowered.   I assume that your right breast was the smaller breast and probably had a higher crease that your surgeon lowered.    It appears that your surgeon was able to get both implants into a fairly symmetric position, but in doing so, lowered your crease on that side which can result in a double bubble.  This is also often related to getting a larger than ideal implant for your breast.     Double Bubble can often be corrected by reconstructing the crease back where it was and placing a smaller implant.   But this is not always acceptable when a patient wants large breasts.   It can also sometimes be corrected by placing the implants on top of the muscle.   DiscoverTheBeauty.com

Hello. Thank you for your inquiry and congratulations on your surgery!

It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

It is crucial to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is important for healthy results.

It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place. Should a revision cross your mind, it is best to wait at least 6 months to a year before doing so.

Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind