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The end result is that the original breast fold then lies slightly above the lower edge of the implant and may act as a constricting band across the implant, creating the "double bubble". Thus, the internal scar crease tends to be lower once the therapy has concluded ( Figure 1C, F). Evidence-Based Medicine &Health Services Research in Plastic Surgery. In Plastic Surgery 4th Edition. For the typical plastic surgery patient, knowing whether or not you have a double bubble following breast augmentation isn't hard. The most obvious symptom of a double bubble is the appearance of two creases on the underside of your breast with a second bulge or bubble in between them. When breast implants are malpositioned, there are a variety of different surgical techniques that can be employed to correct the problem. However, I would estimate that the success rate for this procedure exceeds 90%.
The relatively tight crease indents the implant transversely, dividing it in two and creating a second "bubble" beneath the breast. To correct this complication, your surgeon may need to perform a breast lift as well as a secondary augmentation. The following are some of the most common reasons for breast revision surgery: Bottoming Out. The best way to prevent a double bubble from happening in the first place is by choosing an experienced, board certified plastic surgeon who regularly performs breast augmentation and has significant experience with revision breast surgery. Handel recently co-edited a textbook on repair of deformities following previous breast surgery which is now a standard reference for plastic surgeons throughout the United States and around the world. Your risk may be higher than average if you have an acutely defined breast crease, tight or constricted lower breast tissue, or a short distance between your nipple-areolar complex and breast crease. Discussion: A Multi-Institutional Perspective of Complication Rates for Elective Non-Reconstructive Breast Surgery: An Analysis of NSQIP Data from 2006 to 2010, Aesthetic Surgery Journal: 33(3): 387-388, 2013. Like your initial breast augmentation, the steps you take to prepare for your revision surgery will be vital in ensuring a safe operation and a successful outcome. The best way to determine if you should have another implant procedure is to call Dr. Alderman and schedule a visit to her office. When you should consider breast revision surgery. Double-bubble deformity. During breast revision surgery for symmastia, the breast pocket is manipulated in order to correctly position the implants. It is typically performed as an outpatient procedure, under general anesthesia. Women may also want a smaller implant if they have gained weight over the years, or they may want to upsize their implants as they have become accustomed to their current size and desire a fuller figure.
Breast shape or size changes caused by skin stretch or weight loss/gain. Though the risk of a recurrent double bubble isn't high, the plastic surgery to fix it may be more complex. In some cases, a combination of these procedures will be performed to produce an optimal result for you. So if this happens to you in the early post-operative period, don't worry. It also can impact the appearance of the breasts, causing them to look and feel overly firm and develop a misshapen appearance. Also, your revision surgeon must try to use the same incisions as the original surgery to prevent additional scarring. Experience and expertise are paramount to a successful revision process. Click here see more plastic surgery procedures and treatments performed by Board Certified Plastic Surgeon, Dr. Eugene Kim on patients in Beverly Hills, Los Angeles, Hollywood, Santa Monica and surrounding areas or call 310-271-6996 to schedule a consultation. In all cases of revision surgery, the goal is to address your concerns and safely provide the best possible results. Some women choose to have surgery because they are suffering complications from a previous cosmetic breast procedure.
American Society of Plastic Surgery & Plastic Surgery Education Foundation Breast Surgery Task Force. The Chicago breast implant surgeon re-closes the implant pocket, as necessary, using internal sutures, before closing the incisions with external sutures. The burden of more surgery, the potential for extra costs to patients, and greater risks for disappointing results are factors that contribute to decreased patient satisfaction. If you're in need of a revision breast augmentation surgery, board-certified plastic surgeon Dr. Gregory Park can help. The following illustration shows the resemblance between this breast deformity and the cartoon beagle. You have pain or discomfort in your lower breasts, as the fallen implant is causing the tissues between your nipple and inframammary fold to stretch. In a statement, he said Vanessa "was advised as to the risks and complications of surgery, including but not limited to the possibility of deformity, " adding that he "offered to correct the problem at no charge. This tension may also cause your inframammary folds to move up your chest wall. Now I can start nonsurgical correction immediately. When does a double bubble occur? However, it must be emphasized that gravity and aging will alter the size and shape of every woman's breasts. Subpectoral Device Placement: Minimizing Complications. Schlechter may also exchange the implant in the other breast if desired or if necessary to improve the results.
Breast implant removal or exchange is a relatively simple process that requires about 1 hour of operating time. Double bubble deformity can be identified by the observation of two bubbles in the lower breast. LOS ANGELES (KABC) -- Thirty-three-year-old Vanessa has been performing music most of her life. Some patients need a new pair of implants due to the advanced age of the devices. Because the patient will retie the laces after bathing, it is important that she demonstrate to me before she leaves the office that she can do it correctly. The plastic surgeon will thoroughly evaluate the breasts, chest size and skin quality and help you choose the implant.
TouchMD (Cedar City, Utah) is used in my practice. They'll make recommendations for your breast revision based on a number of factors, including: - How much natural breast tissue you have. Dr. Goffas offers his St. Clair Shores patients an internal bra breast lift as part of breast augmentation surgery to help reduce the risk of their implants bottoming out. The excess implant volume has to go somewhere and it can force its way downward stretching the pocket below the inframammary crease and leading to a double bubble deformity. If you have reached this page looking for help because you are unhappy with the appearance of your breasts, the first step is to schedule a consultation with Dr. Ashley Howarth, a leading female plastic surgeon in Scottsdale, AZ. A breast lift may also be used to reposition the sagging or drooping breast tissue. Although the risks for bottoming out and the double-bubble effect are rare, they require revision surgery to correct. Treatment is focused on trying to provide a thicker coverage. This is dependent on the amount of scar tissue that develops, which is different for each individual. Though mesh placement makes sense in correcting some double bubble implants, we believe it is overused.
Subject Matter Expert for American Society of Plastic Surgery initiative for U. S. National Breast Implant Registry. Venous Thromboembolism and the Aesthetic Surgery Patient. This modification enables the implant to go back to its proper position. I believe in following the progression of therapy closely, and I do not charge patients for any postoperative follow-up visits.