Double bubble still there after revision. Any thoughts?

Question

Had a revision surgery to change implant and to fix double bubble on one breast. The revision did not help, even though surgeon put Galaflex mesh and cleaned out old scar tissue. Any thoughts? Any hope it will ever improve without thinning further tissue or removing skin? Can improvement be done without general anesthesia? Thank you

Randal Haworth, MD, FACS · Answer

It can be frustrating when revision surgery does not achieve the desired results. In cases where a double bubble deformity persists despite revision surgery and the use of Galaflex mesh, it's essential to consult with your surgeon to discuss the factors contributing to the issue and explore potential solutions.

It's difficult to determine the specific reasons for the continued double bubble without a comprehensive evaluation of your situation. Possible factors could include anatomical considerations, underlying tissue characteristics, or the surgical technique used. Your surgeon is in the best position to evaluate your case and provide insights into why the issue persists and what options are available.

Regarding the potential for improvement without further thinning of tissue or skin removal, it depends on the specific circumstances and the recommendations of your surgeon. They will assess the quality and elasticity of your breast tissue, as well as the severity of the double bubble, to determine the best course of action. It's possible that additional revision surgery, including a mastopexy (breast lift) or other techniques, may be necessary to improve the appearance and address the double bubble.

The use of general anesthesia or alternative anesthesia methods will depend on the complexity of the procedure and the preferences of your surgeon. They will discuss the appropriate anesthesia options with you to ensure your comfort and safety during the surgery.

I hope this helps,
best of luck !

Christopher J. Morea, MD · Answer

Thank you for your question. It would be very helpful if you provided photos and more information about both of your surgeries. Generally speaking a " double bubble" can easily be corrected. I would recommend you consult with a BC PS who has experience in revisional breast surgery.

Ira H. Rex III, MD · Answer

Unfortunately, sometimes a second revision is needed.  Your plastic surgeon is probably the best person to give you advice on how to proceed.  You may consider a second opinion.  Your situation seems like it may be complicated, and I doubt this kind of surgery can be done without general anesthesia or very heavy sedation.

Brian Bassiri-Tehrani, MD · Answer

A double bubble deformity is a challenging problem to fix. Depending on the extent of it, you may need general anesthesia to effectively address the underlying issue. Sometimes to see the final results of the revision surgery, you may need to wait as long as 6 months to see the final outcome. If after that the results are unacceptable, doing another revision surgery may be needed to address the double bubble. Adding fat (through a fat transfer procedure) can help with blending contour irregularities and adding thickness to the skin if you are concerned about thinning tissue and poor skin quality.

Daniel Barrett, MD · Answer

Dear Lisa Wu,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You probably need to go smaller since your tissue is not supporting the weight of these implants again. No, this is not done well under local anesthesia because of all the scar tissue that will be present. A fat transfer may also be helpful to give a little more volume but into your own tissue.

Douglas Taranow, DO, FACOS · Answer

Dear Lisa,
Double bubbles are difficult to fix and they are caused by a variety of reasons.  They may require just cutting some bands along crease, removal of breast tissue around the crease, use of Galaflex or other material and even a mastopexy (breast lift).  
A physical exam is imperative in properly answering your questions.
Best wishes,
Dr. Taranow

Double bubble still there after revision. Any thoughts?

Answers (7)

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