DOUBLE BUBBLE DEFORMITY, SEVERE BREAST DEFORMITY
This is an excellent case example of a patient with severe encapsulated superior retropositioned implants with a double-bubble deformity with an overhanging of the nipple areolar complex. She desired reconstruction; however, declined any significant scarring, including inverted T. I decided upon a bilateral periareolar lift with complete release of the parasternal muscle attachments and an inferior displacement of the implants through a total open capsulectomy. Her postoperative results of three weeks show excellent healing and bilateral repositioning of the nipple. She continues to wear an upper pole compression band. Sutures have been removed at three weeks and she will continue with the Dr. Linda Bra for six week. Notice the reshaping of the breast without a lift of an inverted T, but simple due to the superior periareolar lift and repositioning of the implant to its proper position, the nipples now show some white underneath the areolar which indicates good placement of the nipple areolar complex.
Patients with severe double-bubble breast deformity can have periareolar lifts without inframammary scars if they are the correct candidate as in this case example, severe double-bubble breast deformity with superior retroposition of the nipple with a periareolar lift.