It depends on what the breasts looked like pre-op. You may have a double-bubble forming, which is frequently related to weight lifting or other strenuous activity of the pectoralis muscle (yoga, planks, etc.). These activities cause the implants to deviate laterally in inferiorly.

Published on Jul 11, 2012

Sounds like you might have a double bubble. Please send a picture.

Published on Jul 11, 2012

Usually, you will need to wait 6 months to 1 year to see the final outcome, but as long as you go in for your regular exams, just as our patients do, you will see it improve. If not, your doctor will advise you of the next step.

Published on Jul 11, 2012

I'm sorry to hear about the concerns you are experiencing after breast augmentation surgery. You should be aware that it is not unusual for patients to feel that they are “too small” or “too big” or shaped "oddly" early on after breast augmentation surgery. Most patients who feel this way ultimately are pleased with the results of surgery.

If, at all possible, it will be best for you to wait a period of at least 3 to 6 months before making any final decisions about the procedure that has been performed. I hope this helps.

Published on Jul 11, 2012

The groove you are seeing is likely your original inframammary fold. Without seeing before and after photos, I can't tell you if I think this may resolve or, in the worst case, you may end up with a double bubble appearance. Discuss this with your surgeon. You may need to wait 4 to 6 months to see how things settle. Best of luck.

Published on Jul 11, 2012

Photos are always helpful but, in general, healing after breast surgery, augmentation, or lift:

1. pain is variable
2. it takes 2-3 months for implants to settle and muscles to relax
3. Celebrex, Motrin, and muscle relaxers can help
4. massage and stretching may help
5. everyone heals differently
6. 4-7 days off from work is common

Published on Jul 11, 2012

Thank you for your question. It sounds like you are describing a "double-bubble." 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

Breasts shape can be strange early after an augmentation for many different reasons. The shape typically starts getting better at around 2 weeks, but the keyword her is "starts" to get better. Without seeing the issue, it is not possible to tell you what is going on. For now, I would just be patient and see if things don't gradually improve. Express your concerns to your surgeon but don't be surprised if he/she suggests waiting as well.

Published on Jul 11, 2012

Over time, the breast will change shape for the better. But if you are concerned, I'd recommend you speak with your PS.

Published on Jul 11, 2012

It is difficult to say without seeing what you looked like before the surgery and now. They should still change over time. I would ask your plastic surgeon.

Published on Jul 11, 2012

You are still very early on in the healing process and because your implants were placed below the muscle, it will take quite some time for them to fully settle (roughly 3-4 months). Without conducting a physical exam, it is very difficult to determine what might be going on. I would recommend following up with your operating surgeon to discuss your concerns and expectations.

Published on Jul 11, 2012

Thank you for the question. It's hard to know without a photo, but I would venture to say that you are seeing what is sometimes referred to as a double-bubble. If this is the case, it occurs when the old fold is still creating a crease on the new larger breast and you also have a crease lower to that for the bottom of the new larger breasts where the implant resides. This can resolve with time on its own but may also remain to a certain extent without intervention. Fixing this is fairly straight forward and involves one of two solutions: releasing the original fold or suturing the pocket to raise the new fold.

I hope this helps.

Published on Jul 11, 2012

This may be a double bubble and is not normal and may need to be corrected. You need to be evaluated. Have you spoken to your surgeon?

Published on Jul 11, 2012

From what you are describing, it is possible that you have the beginnings of a double bubble. Without seeing the actual photos it is difficult to make an exact diagnosis. Having said that, it's also extremely early in your recovery, so a lot of this may settle out. If you have any concerns, you should definitely talk to your plastic surgeon.

Published on Jul 11, 2012