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Double Bubble or Bottoming Out? (photo)

(Revised) I had my surgery on June 24, 2010. I was a 34A and got 533cc silicone implants. At the 3 month mark I started to notice something was off. The incision was under the fold and my surgeon promised that it would not be noticeable, and that this was the only way to fit such a large silicone implant along with lowering my crease, so i trusted him. My incisions have always stayed exposed and I can feel and see my original crease. I thought the skin would stretch out with time. Is it fixable?

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double bubble bottom out

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5 Doctor Answers | Asked by CatieChloe

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Breast augmentation revision - double bubble

Your current implants are appropriately positioned as they are centered under the nipples. The problem is they are just way too large for your body so the bottom edge extends below the edge of your actual breast. You will have to go to a smaller diameter implant if you want to fix this and get rid of the double bubble. If you just use the same dimension implants and move them up the implants will no longer be centered under your nipples. I do not think you will be happy with the look of... more

Double Bubble

Hello CatieChloe, I am sorry that you are unhappy with the appearance of your breasts after your augmentation. I did not read the responses of your first posting, but took special notice of the second. I take issue with the what has been said so far with regards to the implants being inferiorly placed. It actually appears as though they are well centered below your breast mound and nipple areolar complex (approximately). The real issue is that you were an A cup with... more

Bottoming out and double bubble are often related

You have a problem that is not uncommon. It happens with large implants particularly when your previous breast crease was fairly high and deep set, perhaps with a little bit of droop to the lower breast. The line creating the double bubble and in which your surgeon placed the incision represents the bottom of your old breast and the natural crease from before. Now the implant has slid below this line or perhaps was deliberately placed there. It is more of an issue with larger... more

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Bottoming Out of Breast Implants And “Double Bubble”?

Thank you for the question and pictures. The “double bubble” appearance that you are noticing is related to the breast implants that are inferiorly position. As discussed in the previous answer to your question, repair is possible using internal sutures (capsulorraphy). This procedure will serve to reconstruct the inframammary fold area, correcting the implant malposition and improving the contour ( double bubble effect). Best Wishes.

Bottoming out and double bubble

Bottoming out can lead to double bubble in some patients. This is when the implant goes below the original fold and the fold tissue does not stretch out. Often the correctionis to re-attache the fold and sometimes put in a smaller implant.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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