Are my breast still too low 8 weeks post op? I’m concerned I have a double bubble.

I had a Lollipop lift and Mentor Silicon HP implants 400cc on my left and 425cc on my right. I feel like my breasts are still too saggy and low 8 weeks after my lollipop lift. I stated I wanted them very high and round. I have a lot of lower pole and not much upper pole. They seem too loose and saggy; they are not hard at all! Also I have had this strange crease on both inner breast from day one, one more prominent on the left breast.

Answers from doctors (12)


Barry J. Kaplan, D.O.

Published on Jul 26, 2016

Silicone sits lower, and the implants are too large to stay high. I'd have to see pics; may be descent of IMC.

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Answered by Barry J. Kaplan, D.O.

Silicone sits lower, and the implants are too large to stay high. I'd have to see pics; may be descent of IMC.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Jun 13, 2016

A picture is worth a thousand words. Unfortunately, I don't have one. Might I suggest a consultation with your plastic surgeon or a second opinion. Good luck.

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Answered by ELLIOT B. DUBOYS, MD, FACS

A picture is worth a thousand words. Unfortunately, I don't have one. Might I suggest a consultation with your plastic surgeon or a second opinion. Good luck.

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on Apr 19, 2016

You need to discuss this with your plastic surgeon. I have been offering my patients an internal bra lift at the same time to try and get the breasts higher and to stay that way longer.

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Answered by Edward Domanskis M.D.

You need to discuss this with your plastic surgeon. I have been offering my patients an internal bra lift at the same time to try and get the breasts higher and to stay that way longer.

Published on Jul 11, 2012


Charles A. Messa, III, M.D., F.A.C.S.

Published on Jul 10, 2015

At 8 weeks postoperatively you are still healing, therefore your breasts will most likely still change in terms of shape and size. Breast implants are not supposed to feel hard, that would be considered a capsular contracture. A double bubble occurs when the implant drops below the inframammary crease (the fold where the lower breast meets the chest), below the natural breast tissue, rather than forward into the breast. This shifting creates an unnatural indentation or line across the lower pole of the breast. This indentation is typically most visible when the arms are lifted upward and during active flexion of the pectorals muscle, if the implant was placed under the muscle. What you are describing may be excessive bottoming out or a double bubble. I recommend that you wear a support bra as much as possible, avoid upper body exercises, especially chest exercises, and discuss your concerns with your plastic surgeon.

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Answered by Charles A. Messa, III, M.D., F.A.C.S.

At 8 weeks postoperatively you are still healing, therefore your breasts will most likely still change in terms of shape and size. Breast implants are not supposed to feel hard, that would be considered a capsular contracture. A double bubble occurs when the implant drops below the inframammary crease (the fold where the lower breast meets the chest), below the natural breast tissue, rather than forward into the breast. This shifting creates an unnatural indentation or line across the lower pole of the breast. This indentation is typically most visible when the arms are lifted upward and during active flexion of the pectorals muscle, if the implant was placed under the muscle. What you are describing may be excessive bottoming out or a double bubble. I recommend that you wear a support bra as much as possible, avoid upper body exercises, especially chest exercises, and discuss your concerns with your plastic surgeon.

Published on Jul 11, 2012


Here's the bottom line: once a breast has sagged enough to need a lift, no surgeon in a world can make breast "very high and round."

You had a lollipop lift, and one of the drawbacks of a lollipop lift is that the distance from the nipple to the bottom of the breast can often not be adequately shortened, thereby allowing the implant to drop down.

Perhaps you should give it 6-12 months, and then convert from a lollipop incision to an anchor incision.

But here's one more piece of bad news: new breast that needs a lift and gets 425 high profile implant stays full in the top. Anyone who needs a lift has skin that has stretched and can stretch again. It is skin that failed to hold up the existing weight of the breast. And if surgeons add weight to a breast with an implant, it will inevitably go south again over time.

Unfortunately the heart of your problem - and i say this without looking at a picture of you nor knowing your measurements - is recognizing the possible outcomes from a lift + implant procedure.

Answered by Steven Teitelbaum, M.D.. F.A.C.S (View Profile)

Here's the bottom line: once a breast has sagged enough to need a lift, no surgeon in a world can make breast "very high and round."

You had a lollipop lift, and one of the drawbacks of a lollipop lift is that the distance from the nipple to the bottom of the breast can often not be adequately shortened, thereby allowing the implant to drop down.

Perhaps you should give it 6-12 months, and then convert from a lollipop incision to an anchor incision.

But here's one more piece of bad news: new breast that needs a lift and gets 425 high profile implant stays full in the top. Anyone who needs a lift has skin that has stretched and can stretch again. It is skin that failed to hold up the existing weight of the breast. And if surgeons add weight to a breast with an implant, it will inevitably go south again over time.

Unfortunately the heart of your problem - and i say this without looking at a picture of you nor knowing your measurements - is recognizing the possible outcomes from a lift + implant procedure.

Published on Jul 11, 2012


Gerald Minniti, M.D., F.A.C.S

Published on Jul 09, 2015

Unfortunately, I cannot see your breasts using this question and answer system. If you would like, you can email me. drminniti@drminniti.com

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Answered by Gerald Minniti, M.D., F.A.C.S

Unfortunately, I cannot see your breasts using this question and answer system. If you would like, you can email me. drminniti@drminniti.com

Published on Jul 11, 2012


Joseph M. Perlman, M.D.

Published on Jul 09, 2015

It could be that you're having some "bottoming out" problems because your own skin can't support the weight of the breast implant even with a lift. In these situations, I often have to place an internal brassiere using a dermal matrix graft which is basically a skin graft taken from a cadaver donor with the top layer of skin removed. The tissue is then processed to ensure that it's not carrying any virus or bacteria and then placed under the skin to provide support and decrease the chances of bottoming out.

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Answered by Joseph M. Perlman, M.D.

It could be that you're having some "bottoming out" problems because your own skin can't support the weight of the breast implant even with a lift. In these situations, I often have to place an internal brassiere using a dermal matrix graft which is basically a skin graft taken from a cadaver donor with the top layer of skin removed. The tissue is then processed to ensure that it's not carrying any virus or bacteria and then placed under the skin to provide support and decrease the chances of bottoming out.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Jul 09, 2015

Thank you for your question.Unfortunately, without an examination, it is impossible to give you advice.Best to discuss your concerns with your plastic surgeon or if you would like a 2nd opinion, visit with a board certified plastic surgeon in your local area so that an examination can be performed.

Answered by Tom Pousti, M.D. (View Profile)

Thank you for your question.Unfortunately, without an examination, it is impossible to give you advice.Best to discuss your concerns with your plastic surgeon or if you would like a 2nd opinion, visit with a board certified plastic surgeon in your local area so that an examination can be performed.

Published on Jul 11, 2012


Paul Wigoda M.D.

Published on Jul 09, 2015

Without seeing photos its difficult to give you advice. However, it sounds like you may have needed a "wise pattern" lift where skin in the lower pole is excised. This will give your breast more of a lift. However, there is an additional scar along the breast fold.

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Answered by Paul Wigoda M.D.

Without seeing photos its difficult to give you advice. However, it sounds like you may have needed a "wise pattern" lift where skin in the lower pole is excised. This will give your breast more of a lift. However, there is an additional scar along the breast fold.

Published on Jul 11, 2012


Arturo K. Guiloff M.D., P.A.

Published on Jul 09, 2015

Many factors are involved during breast surgery including the patients age, previous surgeries, size of implant, elasticity of the skin, size of the original breast, "droopiness", etc. It's difficult to give an educated opinion without seeing you or knowing those factors. If the elasticity of the skin is significant sometimes the lollipop lift might be insufficient and an anchor incision is what's needed to tighten and shape the lower pole to provide enough support.

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Answered by Arturo K. Guiloff M.D., P.A.

Many factors are involved during breast surgery including the patients age, previous surgeries, size of implant, elasticity of the skin, size of the original breast, "droopiness", etc. It's difficult to give an educated opinion without seeing you or knowing those factors. If the elasticity of the skin is significant sometimes the lollipop lift might be insufficient and an anchor incision is what's needed to tighten and shape the lower pole to provide enough support.

Published on Jul 11, 2012


Tracey H. Stokes M.D., F.A.C.S.

Published on Jul 09, 2015

Without photos it is difficult to evaluate. It takes at least 3 months for the breasts to settle, it is too soon to tell what your final outcome will be. You need to discuss your concerns with your plastic surgeon, if a revision is needed it should be scheduled for 6 -12 months post op.

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Answered by Tracey H. Stokes M.D., F.A.C.S.

Without photos it is difficult to evaluate. It takes at least 3 months for the breasts to settle, it is too soon to tell what your final outcome will be. You need to discuss your concerns with your plastic surgeon, if a revision is needed it should be scheduled for 6 -12 months post op.

Published on Jul 11, 2012


Aristocrat Plastic Surgery

Published on Jul 09, 2015

Hello, thank you for your question. While you are still on the recovery period, should discuss these concerns with your plastic surgeon. After complete recovery at least three months,myour concerns can be addressed.

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Answered by Aristocrat Plastic Surgery

Hello, thank you for your question. While you are still on the recovery period, should discuss these concerns with your plastic surgeon. After complete recovery at least three months,myour concerns can be addressed.

Published on Jul 11, 2012


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