6 months post breast reduction with pre existing implants - what could have caused double bubble to develop? (photos)

Question

5 yrs ago I had a mastopexy w/ a 300cc implant placement after. I was a DD. 6 mo. ago, I decided to get a breast reduction but chose to keep my implants to retain that upper fullness. I immediately noticed post op that there was the appearance of a double bubble bs bad swelling. I had a Feeling it was my implants not swelling. The implants were not touched or moved during the reduction. Was the lift too high and that is where my Implants were always sitting? Or did they slip down from swelli

Randal Haworth, MD, FACS · Answer

It is difficult to determine the exact cause of the double bubble appearance without a physical examination and more information about your surgery. However, it is possible that the double bubble appearance may be caused by a few factors related to your previous surgery and your recent breast reduction.

One possibility is that the breast reduction surgery may have caused the implant to move downward, resulting in a double bubble appearance. If the breast reduction removed a significant amount of breast tissue, this may have altered the position of the implant and created a visible crease or indentation in the lower breast.

Another possibility is that the initial mastopexy and implant placement surgery created a breast shape where the implant was sitting high on the chest wall and the new breast mound was situated lower down. This created an illusion of upper fullness but also a risk of the double bubble appearance after the breast reduction.

It is also possible that a combination of these factors contributed to the double bubble appearance. To determine the best course of action, it is recommended that you consult with a qualified plastic surgeon who can evaluate your breasts and recommend a treatment plan based on your individual needs and goals. Possible options may include implant repositioning, implant exchange, or additional breast revision surgery to correct the double bubble appearance.

I hope this helps,
best of luck !

Daniel Barrett, MD · Answer

Dear Alexa5130,
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

Camille Cash, MD · Answer

If you have noticed that the implants have moved down after the surgery it could be that the tissue needed more support for the weight of the implant.  Bioabsorbable mesh is sometimes used to help give support to weakened tissues.  I encourage you to return to your surgeon for an evaluation.

Connie Hiers, MD, FACS · Answer

I suggest going back to your surgeon and discussing your concerns. Your implants probably fell from lack of support since lower breast tissue was probably removed. An internal bra with mesh could be done for better support.

6 months post breast reduction with pre existing implants - what could have caused double bubble to develop? (photos)

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