Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of breast contour irregularity following previous augmentation mammoplasty. Clinical history reveals a visible separation between the superiorly displaced implant and the inferiorly ptotic native breast tissue, creating a distinct "double bubble" appearance. Patient reports dissatisfaction with aesthetic outcome, noting the implant is no longer contained within the inframammary fold (IMF).
Clinical Examination Findings
Physical examination reveals a clear demarcation between the superiorly positioned implant and the inferior pole of the breast. The IMF is noted to be malpositioned or disrupted, allowing the implant to ride high while the native breast tissue remains ptotic. No evidence of capsular contracture (Baker grade I-II), infection, or implant rupture. Palpation confirms the implant is superior to the natural inframammary crease.
Treatment Protocol
Recommended surgical intervention involves revision mastopexy with IMF reconstruction. Procedure includes capsulorrhaphy or internal suturing to re-establish the IMF, potentially combined with implant exchange or repositioning to achieve optimal anatomical symmetry. Post-operative management includes use of a supportive surgical bra and strict adherence to activity restrictions to ensure proper healing of the reconstructed fold.