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Too Low Pocket or Crease Caused Double Bubble Deformity?

asked 3 years ago by DBpostop in Anniston, AL
Latest answer by Wayne I. Yamahata, MD
Question viewed 5,754 times

I have Double Bubble deformity on my left breast, where the implant hangs below actual breast instead of filling it in. Was the pocket or crease too low? I didn't have saggy breasts, but did have short inframammary crease. L-7cm ,R-6cm. Doctor denies any corrective measures available. States, "deal with it". What can be done about this?


3 answers to Too Low Pocket or Crease Caused Double Bubble Deformity?

+4

A short crease to areola distance is a hard starting point

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
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+3

"Double Bubble" appearance to breasts following esthetic breast augmentation

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
Wayne I. Yamahata, MD

Sacramento Plastic Surgeon

www.anuyu.com

+1

There are corrective options

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.
Bahram Ghaderi, MD

Chicago Plastic Surgeon

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