I was a 34A and got 533cc silicone implants. What Are my Options to Correct Double Bubble?

Question

I had my surgery on June 24, 2010. I was a 34A and got 533cc silicone implants. However, at the 3 month mark I started to notice something was off. The incision was under the fold and my surgeon promised that it would not be noticeable, and that this was the only way to fit such a large silicone implant along with lowering my crease, so i trusted him. I now have double bubble and my breast stay raised up in the air, always exposing my incisions. Its been 18 months. What are my options?

Tom J. Pousti, MD · Answer

I'm sorry to hear about the complication you have experience.

	The implant malposition ( bottoming out) can be corrected using a permanent suture technique (inferior pole capsulorraphy).  This procedure will reconstruct the lower breast implant capsule area and decrease the distance from the areola to inframammary fold. It will also help to hide the current inframammary fold score better.

	I would suggest in person consultation with plastic surgeons who can demonstrate their success with similar procedures.

	Best wishes.

Richard Baxter, MD · Answer

While a double bubble can occur from lowering the bottom fold of the breast, it can also be related to animation problems from the way the muscle is cut for the usual submuscular placement (dual plane). If you notice pulling up where the fold is when you flex your pecs, then it is the muscle pulling there that is also causing the double bubble. In that case you would want to convert to either a split muscle or subfascial plane which could address both problems. A simple capsulorrhaphy is not always reliable regardless of what type of sutures are used.

Edward J. Bednar, MD · Answer

I would speak with you physician re the option of a capsulorraphy to address the bootoming out of your implant on the one side.  This is typically a very standard procedure in such cases and usually addresses this going forward after the procedure

Darryl J. Blinski, MD · Answer

Thanks for the posting of all your photos. Very hard over the internet to give any specific advise. In fact I see a very acceptable result that needs some tweaking. I might consider fat grafting the inferior poles with needling the skin to cause a stretching effect. But again ONLY in person evaluation would allow a definitive plan.

Kamran Khoobehi, MD · Answer

The pictures are very helpful and show the problem clearly. You will notice this more with putting your hands on your hip and pressing down. Your infra mammary fold is disrupted and will need repair. Smaller implant will help.

I was a 34A and got 533cc silicone implants. What Are my Options to Correct Double Bubble?

Answers (8)

Answer: What Are my Options to Correct Double Bubble? (photo)

Answer: What Are my Options to Correct Double Bubble? (photo)

Answer: Your options are revision with capsule revision and smaller implant

Answer: Your options are revision with capsule revision and smaller implant

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

I was a 34A and got 533cc silicone implants. What Are my Options to Correct Double Bubble?

Answers (8)

Answer: What Are my Options to Correct Double Bubble? (photo)

Answer: What Are my Options to Correct Double Bubble? (photo)

Answer: Your options are revision with capsule revision and smaller implant

Answer: Your options are revision with capsule revision and smaller implant

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.