Rubis Plastic Surgery

Corrective breast surgeries to help you become a more confident you

While every woman’s body is beautiful and unique in its own way, some women struggle to feel confident with their breasts due to a variety of abnormal conditions. Dr. Rubis has extensive experience performing a wide variety of corrective surgeries to help you become a more confident you. The conditions he helps correct include:

  • Symmastia
  • Asymmetry 
  • Double Bubble
  • Bottoming Out 
  • Capsular Contracture 
  • Congenital Abnormalities

Symmastia Repair

Symmastia is a condition in which breasts touch in the middle of the chest, leaving little to no cleavage as a result. This condition can arise as a complication from a previous breast augmentation surgery, known as breast implant symmastia, or it can be congenital. Dr. Rubis has a great deal of experience helping women with this condition. This procedure includes suturing the tissue back down to the chest wall and recreating the cleavage line. Following this step, he will compress the area. This will allow your skin and chest wall to heal after the procedure.

Asymmetrical Breast Correction Surgery

Breast asymmetry occurs when one breast appears larger or of a different shape or volume than its counterpart. Dr. Rubis has an extensive amount of experience with performing asymmetrical breast correction surgery. Depending on the type of asymmetry of your breasts and your desired appearance, Dr. Rubis will determine what type of procedure will produce a fuller and more symmetrical appearance for your chest. These procedures may include a breast lift, breast reduction, or breast augmentation. During this procedure, you will be placed under general anesthesia for your comfort and the desired procedure will be performed. After making discreet incisions on the breasts, Dr. Rubis will either remove breast fat and tissue or create a pocket in your breast and insert an implant in order to create a symmetrical appearance in your breasts that meets your goals. He will then close the incision site with either sutures, surgical tape, and/or skin adhesives.  

Double Bubble Breast Repair

Double bubble deformity is a condition in which a breast implant inserted during a previous breast augmentation procedure sits lower or falls below the previous inframammary crease, or the natural fold of the breast, where the lower portion of the breast meets the chest. This causes the appearance of an indentation or line along the lower part of the breast. Some have called this condition the “four-breast effect”, especially when the condition is seen in profile. While this condition is exceedingly rare, we are prepared to help you correct this complication, should it occur. This condition can occur as a result of improper initial placement of the implant, pregnancy, excessive weight gain or fluctuation, or due to another condition known as capsular contracture.

Rubis will work closely with you to determine what your best option is. In some cases, it may be best to completely replace the breast implant and ensure the implant is in the proper position. For other patients, the right option may be to perform revision breast augmentation surgery, which involves a breast lift and submuscular placement of your implants. Alternatively, Dr. Rubis may determine the best course of action is to modify your breast crease by making a small incision in the crease and then tightening and raising the crease by placing sutures along the lower part of your breast. This type of procedure allows the current implants to settle into their proper position. 

Bottomed out Breast Implant Repair

When a breast implant becomes bottomed out, that means that the implant has sunk below the natural curve of the breast, creating a bottom-heavy appearance. This may also make the nipple raise up on the breast. Bottoming out occurs when the support for the implant, created during the augmentation procedure, is lost. The signs of bottoming out breast implants can include:

  • The appearance of a downward bulge at the bottom of the breast
  • An increase in the distance between the nipple and the inframammary fold 
  • Nipples that appear to point upward rather than in a forward direction

Revision surgery is often required to repair bottomed out implants. During this procedure, Dr. Rubis may replace your current implants with new ones alongside other mastopexy techniques, which will serve to raise the breasts and nipples into proper position, as well as implant capsule repair For some patients, this type of procedure may take several steps. In some cases, it is best to remove the current implants and then allow time for the breast pockets to naturally heal, before inserting new implants, so that the new implants will have proper internal support. To prevent a recurrence of bottoming out with new breast implants, Dr. Rubis may recommend a different size of implant depending on several factors, including your desired appearance, health, and the elasticity of your skin. For some women to achieve their desired appearance, a breast lift may be recommended alongside smaller implants. Dr. Rubis will work closely with you to ensure you achieve your body goals while taking proactive steps to prevent the recurrence of this complication.

Capsular Contracture Treatment

Capsular contracture is a condition in which someone’s body produces an overabundance of scar tissue that surrounds implants from a breast augmentation procedure. This can cause the implants to push uncomfortably close to the breast wall, causing  discomfort. Surgery may be required to correct this condition. During this procedure, Dr. Rubis will take out the old implant and remove the hardened scar tissue. He will then replace the old implants with new implants. This procedure is often a good option for women with severe cases of capsular contracture or those who desire different sized implants in addition to the removal of the hardened scar tissue, or “capsule”.

We are here to help you be confident and comfortable in your own skin. While most complications with breast surgery are rare, we are here to help you correct any conditions that may arise as a result of past surgery. If you have any questions or concerns about a past breast surgery or a naturally-occurring abnormality, please reach out for a free consultation.

More Breast Surgery Information:

  • Breast Surgery
  • Breast Augmentation
  • Breast Lift
  • Breast Reduction
  • Corrective Breast Surgery
  • Breast Explant Surgery
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Dr. Rubis and his wife make every appointment feel comfortable and friendly. From the first phone call with the front desk to the last appointment visit post surgery the customer service is 5 stars. Very knowledgeable and answered all my questions before I even had to ask them. I definitely recommend using Dr. Rubis.