I had 405cc round implants placed under the muscle December 2021. My breasts before surgery were deflated and drooping after breastfeeding. The left inframammary fold was lowered. This side now has a double bubble deformity and this breast appears higher and smaller. To revise the issue, the surgeon suggests switching to a 460cc implant on the left side, scoring and possibly lower the fold more. I am responsible for payment again. Is this the best course of action? Thank you!
Answer: Revision surgery Dear btay136,
Helpful 1 person found this helpful
Answer: Revision surgery Dear btay136,
Helpful 1 person found this helpful
Answer: Action In my opinion, breast augmentation alone was not the correct surgery from the beginning. You needed a breast lift at the time of implant placement. The oversized implant that was placed is too powerful for your tissues. This resulted in an elongated right breast lower pole and left implant bottoming out with obliteration of the native inframammary fold onto the lower pole of your left breast, this is the reason for the "double bubble". I would proceed with extreme caution if pursuing any further surgery. My official recommendations would be to completely downsize both implant, perform capsular tightening/suturing, potential placement of a supportive scaffold in the pocket, and bilateral breast lifts. Best of luck!
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Answer: Action In my opinion, breast augmentation alone was not the correct surgery from the beginning. You needed a breast lift at the time of implant placement. The oversized implant that was placed is too powerful for your tissues. This resulted in an elongated right breast lower pole and left implant bottoming out with obliteration of the native inframammary fold onto the lower pole of your left breast, this is the reason for the "double bubble". I would proceed with extreme caution if pursuing any further surgery. My official recommendations would be to completely downsize both implant, perform capsular tightening/suturing, potential placement of a supportive scaffold in the pocket, and bilateral breast lifts. Best of luck!
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September 14, 2022
Answer: Implants The implant on your opposite side is sitting somewhat low, so I would recommend raising that side and going down in size, and correcting the fold on the other side. I doubt your thin tissue will support weights over 400 cc's.
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September 14, 2022
Answer: Implants The implant on your opposite side is sitting somewhat low, so I would recommend raising that side and going down in size, and correcting the fold on the other side. I doubt your thin tissue will support weights over 400 cc's.
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September 13, 2022
Answer: Rule out pectoral animation deformity as a cause of double bubble Your pictures are typical of animation deformity related to traction of the muscle where it was cut for dual plane method. If you see the crease pulling up when you flex the pec then that is the cause and requires a specific type of correction. The reason I suspect this is because the distance from the nipple-areola to the crease is much shorter than it was in the pre-op or on the other side, suggesting that it isn't the original inframammary fold. Correct this by converting to the split muscle plane with muscle re-attachment behind the implant. Many examples on my website.
Helpful 1 person found this helpful
September 13, 2022
Answer: Rule out pectoral animation deformity as a cause of double bubble Your pictures are typical of animation deformity related to traction of the muscle where it was cut for dual plane method. If you see the crease pulling up when you flex the pec then that is the cause and requires a specific type of correction. The reason I suspect this is because the distance from the nipple-areola to the crease is much shorter than it was in the pre-op or on the other side, suggesting that it isn't the original inframammary fold. Correct this by converting to the split muscle plane with muscle re-attachment behind the implant. Many examples on my website.
Helpful 1 person found this helpful
September 13, 2022
Answer: Capsulorrhaphy It may be possible to just readjust the fold that caused the double bubble to remove it without replacing the implants. This would make it less costly than replacing the implants.
Helpful 1 person found this helpful
September 13, 2022
Answer: Capsulorrhaphy It may be possible to just readjust the fold that caused the double bubble to remove it without replacing the implants. This would make it less costly than replacing the implants.
Helpful 1 person found this helpful
