Do I have snoopy/waterfall deformity? (Photos)

Question

A year and half post op, 350cc moderate plus under the muscle, do I have snoopy/waterfall deformity?

Scott W. Vann, MD, FACS · Answer

It is clear in your photos that your implants are not centered behind your nipple. The question is, is your implants too high or your nipple and breast too low. I personally think your implants look a little high and lowering the implants with a capsulotomy would be less cost and scar than a breast lift. Discuss your options with your surgeon. Good luck.

Juan A. Brou, MD · Answer

Dear liannejr19 you do have what is called waterfall deformity which is what happens when the breast tissue falls over the mound of the breast.  Your nipples and breast glandular tissue are too low and off the breast mound.  This is also known as Snoopy dog deformity, which is when you have a high mound and low nipple areola complex.  It makes it looks like the profile of Snoopy the dog. This is seen when a plain augmentation is done with the implants under the muscle in a mildly ptotic (saggy) breast.  The problem can be corrected  doing a small lift (the kind of lift depends on the experience and preference of the surgeon) to bring the nipple areolar complex to the center of the breast mound which is what should've been done in the first place.  Sometimes when the ptosis is mild one feels tempted to chance it thinking it'll be ok but over time the deformity gets worse.  Especially after children and loosing weight.  I hope this helps!

Marcus Davis, MBBS, MRM, FRCSEd (Plast) · Answer

Dear Lianne,
Many thanks for your question and pictures.
In answer to your question, yes, you have a double-bubble deformity developing. This is one of the risks when you go under the muscle as your implant is separated from the breast tissue by the muscle. If your breast tissue is heavy, especially towards the bottom (lower pole) then as the skin and ligaments supporting your breasts stretch, the breast tissues drop off the implant creating this deformity - the muscle holds the implant where it is on the chest.
The best way to correct this is to move the implants from under to over the muscle. You could of course have an uplift, but this will give additional scars and, with time, will drop off again as the tissues stretch.
I would advise you go back and see your Plastic Surgeon and discuss the options with them.
I wish you well.
Marcus

Do I have snoopy/waterfall deformity? (Photos)

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Do I have snoopy/waterfall deformity? (Photos)

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Our mission is to create a world where every investment in modern beauty is Worth It.