Settled but still seem “uneven”? Doctor has retired. What can I do? (Photos)

Dear Abner5877,

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

Hello, thank you for your question.
Based on your photographs but without the benefit of a physical examination, it appears that you have bilateral " double bubble" deformities. This occurs when the implant descends below the pre-existing breast folds. This is unlikely to improve without further surgery. Correction typically involves resuspending the inframaammary folds with a capsular repair. You may want to consider smaller implants and possible mesh reinforcement.. If your surgeon has retired, I suggest you consult with a plastic surgeon certified by the American Board of Plastic Surgery who has experience with revisional cosmetic breast surgery. Good luck. I hope this helps.

Your implants are too large and heavy for your tissue and frame and are bottoming out from the weight. You need to go down in size and have the inferior pockets tightened. You might need mesh. Go visit with another plastic surgeon.