Breast Implants Q&A

80%

WORTH IT RATING

1,008 Reviews

Ask a Question

View Before and Afters

Average Breast Implants Cost: $6,000

Learn about Breast Implants

4,917 people and 831 doctors are talking about Breast Implants

Get Free Email Updates

Is This Double Bubble?

asked 9 months ago by lay72 in AL
Latest answer by Alan Engler, MD
Question viewed 533 times
Tags: 2 months post-op, causes, double bubble

Had BA on 7-8-11. PS never mentioned I would or might need a lift and am wondering if he missed the mark here. I am 7 weeks post op and am curious if this is double bubble or something else. He has me wearing strap 24/7 and I see slight improvement but am not sure. If I need revison what are my options? This is 450 cc silicone dual plane. I know it's early on but ps swears it should self correct. Thanks

11 answers to Is This Double Bubble?

Breast Implants and Double Bubble Deformaty

Hello Lay72, Unfortunately you do have a double bubble deformity. Yes, it is still early, but I've never seen one resolve completely. The reason you have this issue now is that prior to your surgery you had a very short distance between your inframamary fold and the bottom edge of your areola with the inframammary fold positioned high on the chestwall. This condition makes the position of your nipple and areola relatively low on the breast mound... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

What to do with early double bubble

This is a moderate double bubble, caused by the surgeon lowering the fold in an attempt to get the implant to sit lower on the body so that the breast does not fall over the top of the implant. Sometimes this works. Sometimes the original fold is very tight and will not relax, thus creating the indent. Think of a belt on a fat guy. There is a roll above and below the tight belt. I would wait it out and see. It might stretch out and correct in a few months. Do you have it symmetrically on... more

John Alexander II, MD
San Diego Plastic Surgeon

Breast Implants - ? Double Bubble

It is a double bubble - not the most dramatic version but, nevertheless, that's what it is. And it's caused by having a narrower base of the breast versus the implant, a bit of sagging, or a combination. Pre-op photos might help determine what the origin is. In general, if you have only a small amount of sagging, and the base of the pocket (where the indentation is) was opened enough during the surgery, the implant may settle into the new pocket and keep that portion... more

Alan Engler, MD
New York Plastic Surgeon

Double bubble??

The picture that you are showing is a proverbial 'double bubble'. It's hard to completely comment for you the reasons for it in your case and seeing your pre-op photos would help. The fact that you claim to have had a 'dual plane' procedure- which I assume is terminiology that you got from your surgeon- tells me that you had some somall amount of ptosis (droopiness) identified before the procedure. The dual-plane technique is used to help the breast to... more

Scott E. Newman, MD
New York Plastic Surgeon

www.psurgery.com

Double bubble after breast augmentation

Yes, unfortunately this is a double bubble and unfortunately, I doubt that it will resolve with time (but stranger things have happened). If revisionary surgery does become necessary, I think my 1st choice would be reconstruction of the inframammary fold area using permanent internal sutures (capsulorrhaphy). Excision of skin may or may not be necessary (breast lifting). You are correct that is still early in your post operative course and any revision surgery should be done... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Agree with the group.

I agree the consensus here. The phenomena is produced in people with strong inframammary attachments that will produce that "memory" of the old fold when lowered. As you nipple to fold length is so short, it's likely this was unavoidable to accomadate your implant (assuming the fold had to be lowered).

Robert Oliver Jr., MD
Birmingham Plastic Surgeon

Is This Double Bubble?

Yes, great photo of it. This issue can be resolved over more healing time, like 3 months. But revision could be another option.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Double Bubble Deformity

From your photo, you do not appear to have a "double-bubble". A double bubble exists when the lower portion of the implant lies beneath the inframammary fold and yours does appear to do this. This deformity and other problems are more common when implants are used that are too large. Whether or not you need a breast lift is another question which I cannot answer with the view of your breast in the photo that you provided.

John Whitt, MD
Louisville Plastic Surgeon

You have double bubble

Your picture shows double bubble and it can be due to multiple reasons. The issue is what to do about it. This will not correct itself and will need revision. Your implants are too big for your breast base. You will need to get smaller implant and lift. You have fair amount of breast tissue that your implant has not filled and it falling off the implant.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

This is a double bubble

Your picture does show a double bubble with the implant extending below the breast envelop and the tight breast fold above. Your surgeon may be right, and over time the fold and envelop can relax and blend better with the pressure of the implant. Keep a positive outlook if you like the size and see if things straighten out. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Fixing double bubble

The picture shows a double bubble contour, which can be caused by 2 things. One is the the fold had to be lowered due to the diameter and size of the implant, so the groove across the bottom of the breast is where the original fold was. Sometimes but not always this gets better with time. The dual plane technique may contribute to the problem as well. If you see pulling upward along the groove when you flex your pecs, then it will not get better without a corrective procedure. A very useful... more