What would you do? Is this fixable? (Photo)

Question

Original surgeon says the risk isn't worth the reward in a revision surgery. I have 400cc silicone mod + implants under the muscle. Is this fixable or am I screwed forever?

Richard Baxter, MD · Answer

You have a classic problem from dual plane submuscular implant placement, which is that the detached portion of the muscle has adhered to the capsule. This causes both the double bubble and animation deformity. Correction of it requires re-attachment of the muscle behind the implant by converting to the split muscle plane or subfascial. Many examples on my website.

Donald R. Revis Jr, MD · Answer

Good morning!This is the type of revision I perform almost every day- you have bottoming out with double bubbles and the correction is the Original Internal Bra, my strong permanent internal suturing technique which corrects your bottoming out and double bubbles, and provides excellent long term support for your implants.

Mahyar Amjadi, FRACS (Plast) (license conditions) · Answer

Hi!
Looks like you have a combination of double bubble and animation deformity. It can be fixed, and in my opinion is worth the procedure. It needs changing the pocket and replacing the muscle on the chest wall. Perhaps you should consider seeing a surgeon for a second opinion.
All the best!

Gary M. Horndeski, MD · Answer

You have double bubble deformity of both breasts.  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.

Daniel A. Medalie, MD · Answer

HI,You have what is called a "double bubble" deformity. The implant has dropped below the level of the original inframammary fold. There is not a perfect solution for this, but during revision surgery the fold can be released to allow the overlying tissue to stretch and the implant capsule can be tightened to move the implant higher in the pocket. This should result in a significant improvement, but relapse and recurrent dropping of the implant can take  place. All my best,Daniel A. Medalie, MD

Daniel Barrett, MD · Answer

Dear Doniboost,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Leopoldo Baccaro, MD · Answer

It appears you have a “double bubble” deformity. It is definitely something that can be fixed. It occurs when the implant is displaced below the natural fold underneath the breast.It is usually fixed by repairing that natural fold and repositioning the implant.As far as risk is concerned, there’s always risk to any procedure. However,   in this circumstance, I think the benefits of correcting this issue outweigh the risk.Make sure you visit with a board certified plastic surgeon for your consultation.good luck!

Hilton Becker, MD · Answer

This problem occurs with sub-muscular implants.I prefer correcting these by placing the implants above the muscle and under the fascia.

Karol A. Gutowski, MD, FACS · Answer

This can be fixed. It requires re positioning the implants and possibly a smaller size, plus work on the implants pocket. An in person evaluation is the best way to start.

David Finkle, MD · Answer

A revision procedure is needed.  You have the classic "double bubble" deformity, the implants sit below the natural crease of the breast.  This can be corrected by several different methods, such as elevated the implants and the crease or switching the implants from below the muscle to above.Please obtain a second or even a third opinion from a board certified plastic surgeon with experience in revisionary breast surgery.Good Luck!

What would you do? Is this fixable? (Photo)

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