Could I Be Bottoming out or Have "Double Bubble?"

I just recently heard these terms, but I'm afraid this may be my situation. I had surgery in August and I've only been able to follow up once or twice due to my doctor being 2 1/2 hours away. I'm not sure how to describe it, but it looks like my real breast is still there, and that the implant is dropped below it... it is also lumpy and I can see the disfiguration of the implant through my skin. I had the surgery to fix extreme asymmetry, so I'm very frustrated.

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double bubble bottom out

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9 Doctor Answers | Asked by Concerned101 in Atlanta

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Bottomed out with a double bubble

Unfortunately you have both problems and will need a revision. Send these photos to your surgeon but also there are fantastic breast surgeons right there in Atlanta. Good luck!

Bottoming out and double bubble troubles

The picture shows both a double bubble and bottoming out. The double bubble is the groove across the breast where the original bottom edge was (inframammary fold). Since the implant is a larger diameter than the breast, it pushes below this fold in order to be centered in the breast. When there is not enough support, the implant drops even more which is bottoming out. The picture also appears to show a pucker of the implant, also relat4ed to too large a diameter. Correction of this type... more

Bottoming out of breast implants and double bubble

Based on your photos shown you have both issues here which will require surgical correction to recreate the natural inframammary fold and possibly replace your implant with a smaller one. In some cases, a synthetic skin substitute (acellular dermal matrix) is needed to to reinforce the lower aspect of the breast pocket. There are many fine board certified plastic surgeons in the Atlanta area who can help you correct this issue. Best wishes, Dr.Bruno

Double bubble after breast augmentation

It appears to be a double bubble with the implant now positioned below the fold. It will need surgical correction. Hang in there and keep your surgeon posted.

Breast Implant Position Problem

Yes, unfortunately your implant is lower than where it should be. According to your photo, the implant is resting below the inframammary fold which defines the normal lower margin of your breast. There is no effective treatment other than a revision to correct the problem appropriately. I recommend contacting your plastic surgeon.

Double bubble

Yes your photos do show that the implant has dropped below the inframammary fold and resulted in the appearance you have. You should call your PS and sent your photos. You should be prepared for a revision.

Double Bubble

Dear Concerned, Unfortunately, your implant is sitting below your natural inframammary crease, in a less than satisfactory position. This is known as bottoming out. In addition, there is the curve of your breast gland above the crease, and a separate visible curve of the implant below the crease. This is known as a double bubble. These two problems frequently occur together, and occur most often in women with high inframammary creases and/or widely spaced... more

Bottoming out

From what I see in the photograph it appears that what you have is called "bottoming out". This happens when the implant slides behind the Scarpa's fascia, which is very importantly attached to the chest wall as the inframammary fold. Sometimes, when we try to expand the base footprint of a small breast, these attachments become quite thin, and with time and implant pressure, can give way and allow the implant to slide downward. Reconstruction of the fold will likely be... more

Double bubble

From the photos you posted, you seem to have a double bubble which is a form of bottoming out. The fold needs to be resuspended and you may need to have a smaller implant.