Too Low Pocket or Crease Caused Double Bubble Deformity?

If there is a skin deficiency in the lower pole of the breast as evidenced by a short crease to areola distance (ie 2-3 cm), it is necessary to borrow some skin length and lower the crease a bit. This opens up the possibility of a "double bubble" forming as the old crease retains its memory and causes an indentation across the lower pole of the breast with the new crease below that. If you are unhappy with your doctor, seek another opinion. Dr. James Grotting in Birmingham,... more

Your surgeon was correct in that there is probably no simple way for you to eliminate the “double bubble” appearance and achieve a classically attractive appearing breast. Dr. Rand has eloquently explained the reason for the “double bubble” being caused by the original fold beneath your breast. The most common treatment of this condition is to reattach the fold back to the chest through a procedure called a capsulorrhaphy or capsuloplasty. As you appear to have a... more

The double buble deformity is a risk with breast augmentation and more so with a short IMF to nipple distance. It is also difficult to correct but there are options to discuss with your surgeon. Did it occur on both breasts? Your measurements are not too far from the norm. Try to discuss your concerns with your surgeon again and bring up the possibility of using alloderm to support the lower pole of your breast to correct the double bubble deformity. Good luck.