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Breast Implant Revision
Can you suggest how to fix an indentation under my breasts after implants?
Indentations under the breasts are typically due to contour irregularities, a double-bubble deformity, or an unreleased inframammary fold. The natural fold under the breast might be too tight or heals abnormally, which causes the tissue to pull inward while the implant pushes past it. It is important to wait for full recovery, as swelling can take several months to fully resolve, and minor skin creases sometimes soften as the tissue relaxes up to a year post-surgery. If the indentation is caused by a tight or misplaced fold, a board-certified plastic surgeon may need to perform a revision in order to establish a smooth contour.
Clinical Context
The inframammary fold is the crease where the breast meets the chest wall, held in place by natural connective tissue attachments. During augmentation, surgeons sometimes need to lower or release this fold so the implant sits properly behind the nipple. A double-bubble occurs when the original fold doesn't fully release and the implant settles below it, creating two visible curves. Telling this apart from simple swelling or a tight scar matters, since treatment options range from watching and massaging the area to surgical revision.
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