What can be done to correct double bubble? 270 cc mentor high profile implants (photos)

Question

Hi there I got 270cc mentor high profile implants and have now got a double bubble in my right breast and wondering if anyone has a professional opinion on where to go from here?

Daniel Barrett, MD · Answer

Dear PlasmaLift Australia,
though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Your breasts are much too low on the chest wall. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Arif Eroglu, MD · Answer

Hello,
The double bubble problem can be corrected with revision mastopexy, which involves repositioning the implants and lifting the breast tissue to create a more natural contour.

Connie Hiers, MD, FACS · Answer

Your medial-inferior pocket can be tightened with internal suture. You might need some mesh for better support. do not go larger.

Kenneth R. Francis, MD, FACS · Answer

Dear PlasmaLift,
There is only one place to go from here...up.  Although the double bubble breast deformity can be a very vexing complication of breast augmentation surgery, yours is a relatively straightforward one.  Your right breast implant needs to be repositioned higher and the fold reconstructed with internal bra suturing and possibly even placement of mesh material to support the fold.  Fortunately, your previous surgery scar looks to be large enough, and close enough to the problem to afford good exposure to do so.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

It looks like the implant on your right side is Bottom out.
This can be corrected using permanent sutures to close the lower part of the implant pocket guided
Sometimes mash or cadaver dermal products are used as well.
It’s not a straightforward procedure and you should definitely look for a plastic surgeon who has a proven track record correcting this deformity.
 When consulting with plastic surgeons, ask them what their experience has been correcting bottomed out implants and asked them to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had a similar problem.
Ask them how often the revision had to be redone.
 as I mentioned, it’s not an easy or straightforward revision to do, and in many ways is more complicated than a primary augmentation.
Consultations with plastic surgeons in your community to see what they have to say.
And the hands of a skilled plastic surgeon, it should be fairly straightforward.
You just need to make sure that the surgeon has experience doing this with long-term quality outcomes.
 Best,
Mats Hagstrom MD

What can be done to correct double bubble? 270 cc mentor high profile implants (photos)

Answers (6)

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