I had 492cc silicone gel implants put in in Nov 2011. 2 mos later, both implants have fallen below the breast line - double bubble is the term I've been hearing at different doctors offices. I had them put in behind the muscle too.

I've had 3 quotes so far to fix them and none of them think I need the pig skin, they either want to use dis-solvable stitches or permanent stitches to create a shelf or internal bra, so they stay where they are supposed to. Is one way better than the other? One PS said the permanent stitches could cause rippling....true?? And my quotes have been anywhere from $1550-$6000 to fix them. My original PS quoted me the $1550 to fix them, but do I want to go back to him? Or could this have happened with any PS? I want them fixed so I can feel good about them, but I don't want to spend anymore than I have to, but I also, don't want to go the cheapest route just to have it go badly again either. Any advise??

And any PS recs in ATX? (Austin TX) So far the PS's I'm considering are Dr Maggi, Dr Piazza and Dr Caridi.

Any help you can offer on my particular situation would be much appreciated! TIA!

So sorry you are both going through this.

Implants bottoming out is not the fault of the surgeon though. Not doing the proper revision would be a different story.

I would really question your doctors as to why they think you don't need strattice. I had that with mine and so far so good, but I had bottoming out twice in my life and I do not believe that it would have been enough to depend on my skin to hold again without help.

Just check all options and don't rule anything out because you don't want to be back in surgery in a year again.

Many doctors are able to do these procedures. Some better than others, but it is more than just a few. It is not that complicated for a ps - not like a revision rhino or more intricate surgery.

Hiya,

I'm in ATX also, go horns!

If you want to stay local you might want to check out Dr Jennifer Walden. I've read a lot of good things about her. She recently relocated here from NYC and she specializes in breast work. That said, I'm going to be going to Dr Revis in FL for my first BA.

I'm not familiar with the work of the others you mention. The first one has no photos to look at. The second one, I'm kind of unimpressed with the work shown, and the third, some very good, some IMO not good at all. I have to worry when I see work on a web site that isn't good because it makes me wonder how bad the bad ones are. Opinionated I know, but I really want to work with someone that has specializes in this procedure not someone in general plastic surgery practice who does breast work here and there.

I'm a little surprised you ended up with this problem with unders. I'm assuming he only did a partial under? I believe Dr Revis prefers full under so that this is highly unlikely to happen.

I had it happen with overs and full unders both, unfortunately.

AnnieBeansprout wrote:I had it happen with overs and full unders both, unfortunately.

No way ! Did you ever get a good explanation for why that happened? Did it somehow still slide out from underneath? I'm unclear whether they put it fully under and suture it there like they do with butt implants or if it's just tucked under with a silent prayer that it stays put. Were the implants too large? I'm thinking about 700cc for my first ones because I'm kind of large framed. Does the weight of something that big contribute to something like this happening? I'm of the understanding that creating an internal bra isn't possible on the first go round because the procedure uses the scar capsule that forms after the initial BA, right? Now I'm nervous

There must be some common risk factors for this happening. It seems difficult to imagine that with something as routine as BA this kind of complication could just be random. CC I can understand because that's all about how your body deals with the presence of that foreign body. But this is more of a mechanical failure thought right?

Sorry to hijack your thread @momoftwo512

With me I was told it happens because my skin is very thin and VERY inelastic. I need a lift when my breasts came in as a teenager (not lying, they came in bad).

I am like gumby, you pull skin and it sticks,lol. Okay, a slight exaggeration there, but you get the point.

So, with me, even smaller implants did it. My first, age 27, even with implants I was a "full B." It took a good five years before I started to bottom out. I had no idea really it was happening or what it was, (not a really obvious double bubble yet) and never had it addressed until I was 10 years out and seeing a PS for other issues. I mean he saw me naked and he noticed it. Four years later I had another lift and new implants. These held regarding bottoming out, but I had a rupture four years later. So, almost 2 years ago I had them done again. This time I went an increase in CCs to 340, high profile. Within months they were bottoming out. So, 18 months later I had it all done AGAIN. Only a lift on one side. This time I had mesh put in, and so far so good.

I think different things can cause it, and I have to admit for someone who reads everything here and has had 4 boob jobs, I am still unclear for sure on this and why it happens. My old doctor was going to do a correction without mesh, and so I found a new doctor and she said I definitely needed it. So I had it done in March.

My first surgery I was over the muscle, my last three have been under the muscle.

I don't think there is any reason to think it will happen to you, and you are right, I don't think it can be done on first go (but I really do not know that for certain). I would discuss with the doctor, but I do believe it is quite rare. Of course we see more of it here, because having this happen is what brings people to the site. They google their problem and find the site. However, compared to the amount of people having implants, it is a low occurrence.

My mom had hers 35 years before replacing, and never happened to her. I know quite a few in my personal life who have implants and I am the only one who has had this happen. I do think, however, if you have it once, you will have it again if proper measures are not taken. I know I didn't have it with the second surgery, but...I had the rupture after 4 years so it may still have happened.

AnnieBeansprout wrote:I am like gumby, you pull skin and it sticks,lol. Okay, a slight exaggeration there, but you get the point.

Ha, let's hope it's not the same sickly green color as gumby's. That's a long sad tale of complications. I hope you don't regret heading down this path. I'm definitely going to have a very serious discussion my surgeon about it. I hope he isn't dismissive of the concern. I know Dr's hate talking about complications prior to surgery. Every time I've tried they're always like, "wellllll yeah, that coullld happen, but you could get hit by lightning also. The chances are veryyyy low." I heard something like that prior to a facial surgery that the chances of complication were less than 1%, but guess who won that lottery...

LOL thank God I don't have the green skin to match our friend Gum.

You are so right, doctors hate talking complications and they also start to think in their heads "oh oh, problem patient." Nothing annoys them more than a patient who knows too much. But, this stuff is definitely important, because implants really are a lifelong commitment. I do not regret having it done because those first 14 years I really loved them. I still do, but being younger back then I loved them more. I feel even if nothing else, those years were worth it because I was so self conscious before.

It is definitely not a decision to take lightly though, which I know you are not or you would not be here reading.

I have to say though that the vast majority do not have problems, and I am a rare case, due to my thin skin, and the rupture was just plain bad luck. That is not typical at all, and for the majority if it does happen it is after many more years.

I read one time that over developed pec muscles can increase your chances of bottoming out. My doctor didn't seem to agree, and I do work mine. I still do even now. I really do not know.

Most people are happy, heck I am still happy. I don't have regrets, although admittedly it has cost me a lot of money. But I am a very rare case.

Paul Berry in Cedar Park did my lower body lift in March, and will be doing my breasts later this year. The man is an artist, you should schedule a consult with him.

I had a consult with Dr Caridi, and couldn't stand the man. He has done some good work, but also some that is less than impressive, and bedside manner matters to me.


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