Last year I had a breast aug. (325cc hp silicone implants) The 1st day after removing the bandages I noticed a distinct line across my left breast. Needless to say, I am very dissapointed with my results. I am have gotten a few different opinions on how to fix this and I'm just not sure anymore what my best solution is. Is it still possible for me to have normal looking breasts??
Will my Double Bubble Be a Difficult Fix? (photo)
Doctor Answers 16
Double bubble repair
You can certainly have normal looking breasts after the repair. This will require restoring the fold of the breast to its previous position using internal sutures. Revision surgery is more difficult than the primary procedure and there is always the possibility of needing additional surgery though the incidence of this is low. Seek out a board certified plastic surgeon with experience in revisional breast surgery. I hope this is helpful.
Will my Double Bubble Be a Difficult Fix?
Thank you for the question and pictures. Yes, with additional breast surgery, it is very likely that the appearance of your breasts will be much improved. In my practice, I would offer you internal suture repair of the inframammary fold areas (capsulorraphy). These internal sutures would serve to reconstruct the breast crease areas preventing movement of the breast implants below the breast creases/folds.
You may find the attached link, demonstrating similar cases, helpful to you.
Double buble repair is possible with certain techniques
HELLO AND THANKS FOR THE QUESTION AND PICTURES.
EVENTHOUGH DOUBLE BUBBLE CAN BE DIFFICULT TO FIX AT TIMES, MAJORITY OF
TIMES, IT CAN BE FIXED IF YOUR SURGEON IS EXPERIENCED IN REPAIRING OF THE
CAPSULE AND CREATING INTERNAL BRA. THIS IS DONE BY SUTURING AND
HOLDING OF THE IMPLANT WHILE RE-CREATING NATURAL ANATOMY.
YOU COULD ASK FOR PICTURES OF PATIENTS WITH SIMILAR FINDINGS.
HOPE THIS WAS HELPFUL.
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Will my Double Bubble Be a Difficult Fix?
Yes, it is possible for you to obtain a better result. The correction of this can be a tricky and requires patience and attention to detail on the surgeon's part.
The internal capsulorrhaphy (elevating the fold) can be done with or without a product like Strattice. I've found that the use of Strattice in this scenario results in a more predictable outcome. The sheet is used as an 'internal hammock' to reinforce the repair. Cost can be controlled somewhat by using a smaller piece and possibly cutting it so that 1 sheet is shared on both sides.
Double bubble deformity difficult to fix.
Violation of the infra mammary fold at the time of breast augmentation should be avoided. When the implant falls below the fold a double bubble deformity can occur. This is difficult to fix.
Breast Augmentation and "Double Bubble" Deformity
Double bubble deformity
You should ask yourself what you are most unhappy about. If you LOVE your size and position, then consider filling the concavities with fat grafts if you are accepting of the risks. If you think your implants are too low, then you will need what all the others are talking about... internal sutures and possibly a smaller implant (and in my practice, wearing a bra 24/7 for 6 weeks minimum). But you do have options and you just need to decide on what is most important to you.
Fixing the double bubbleg
The double bubble can be fixed with internal suturing of the inframammary crease. This is a tricky procedure to get right, however, and you should make sure the surgeon who does the revision is experienced at the procedure. The use of a dermal matrix should not be necessary and increases the cost of the procedure substantially.
Fixing double bubble
I can't see from your photo how pronounced your double bubble is. Sometimes these can resolve on there own but usually surgical intervention is necessary. It should look normal after the repair.
Yes, There is always hope
Yes, it is possible that the appearance of your breasts will be much improved. It would be helpful if you are able to retrieve your "before" pictures. As the first option, I would suggest you to receive suture repair from inside of your breast to fix the double bubble deformity (capsulorraphy). These inside sutures would reconstruct the breast fold area and prevent movement of the breast implants below the breast fold. There is another option to use ADM to fix the breast fold. It is obvious that best option will come out after examination. I can refer you to a list of patients with same problem that I fixed for them. The following link is referring to the published article in 2009 you might find helpful:
Last, but not least, search for a Board Certified Plastic Surgeon whom you are comfortable with and request to show you some before/after pictures with same difficulty.