Can see the separation of natural breast tissue and implant - will this settle? (Photos)

Question

I had my surgery earlier this year, I am still under the 1 year make and acknowledge they aren't fully done. But I can see a clear separation between my natural tissue and the implant. I have silicone implants under the muscle. What is the likelihood this will settle? At it's current state I am not satisfied with this result and would like to make a change to fix it.

Gerald Minniti, MD, FACS · Answer

This will not get better with time. Although Dr. Baxter dutifully gives the various reasons why it can happen, the overwhelming reason is that the implant chosen was too wide (tall) for the distance between your nipple an original inframammary crease, and not incomplete muscle release.

Wess Cohen, MD · Answer

Thank you for your question. You have either a constricting band of scar tissue, or more likely the muscle is not released enough and is causing constriction around your implant. Depending on how far along since your surgery you are, it may be unlikely to settle and you would need a revision. You may consider using a breast band to help push the implant down into a more natural position. Good luck.

Richard Baxter, MD · Answer

What your pictures show is a double bubble. It may be due to the lower edge of the breast (inframammary fold or IMF) having been released, and the implant then drops. If the distance from nipple to IMF was short before surgery, then some degree of this may have been unavoidable without using very small diameter implants. Another cause has to do with the muscle release with dual plane under muscle placement. In this case, the cut edge of the muscle is putting traction on the capsule creating the double bubble crease. It is important to know the cause in order to plan correction.

Daniel Barrett, MD · Answer

Dear Gentle508406,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

It may well improve with time. You probably started with a high inframammary fold. It’s a good result overall so I would not reoperate on it

Douglas Taranow, DO, FACOS · Answer

Unfortunately, a double bubble rarely resolves with the passage of time.  You will most likely require a revision to resolve this issue.

Omer Sagir, MD · Answer

Hello Dear, 
As you mentioned and proved with the photos, your implants don't seem to settle rightly in your breast. An ultrasound would be the best option as a start to get you to the desired results. This would give the doctor an insight on the exact location of the implants. 
This kind of re-placement situations require a revision surgery. But please kindly keep that in mind that any decent doctor would ask for an ultrasound first, rather than book you in for the surgery right away.
Be safe, be happy.

Darryl J. Blinski, MD · Answer

Based on the nicely posted photos you have early "double bubble" effect. This is due to the edge of muscle to breasts tissue is fixed. Only 2 surgical options: #1. Re operation to release the muscle from breasts tissue; #2. micro fat grafting to release the junction. Fees from $8,000. Best to virtual consult with...

Can see the separation of natural breast tissue and implant - will this settle? (Photos)

Answers (8)

More Breast Implant Revision Questions

WE SEND PRETTY
EMAILS

Answers (8)

More Breast Implant Revision Questions

Breast revision - 300cc to 450cc, should I move from MP to HP? (Photo)

Is it normal/fair to pay for a revision?

6 weeks post op, did my breast bottom out? Will I need a revision? (Photo)

Implant exchange - when is the soonest I can swap them?

6 months post-op: One breast is still higher than the other. Is this normal? (photos)

My breasts look like boxes by the armpits. Do I need a revision? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS