Is This a Double Bubble and How Can I Correct It?

I have a 2nd BA on 6-9-10 after. Back ground: 4/97 was ~ 34b and had over muscle 360 cc saline 4 pregnancies and BF 6-9-10 2nd BA went to silicone 600 unders with lipo in the larger breast.Since then I have pointed out to my PS that I see a crease or ridge when I lift my arms & now all the time. I go back this week and want to know what my options are to fix it or is this something I notice and will get better with time. I feel like I have waited long enough of the wait and see

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12 Doctor Answers | Asked by sprmom0f4 in tampa

Doctor Answers (12)
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Double bubble after breast augmentation

Thanks for t he photos. You have a double bubble or two creases in the lower poles of your breasts. This happens with lowering the original fold and not releasing the tight tissue band. Of course this has its limitations, since you do not want to thin out the tissues too much at the lower poles. If it is mild, it gets improved over time, but might never completely go away.

Yes it is a double bubble

A double bubble is a situation where the old inframammary crease still dents the breast and there is a new breast crease lower down. Consequently there are 2 creases. These can need revisions but aren't always correctable is 100% of cases if your old crease was an especially tight one.

Double Bubble Deformity Following Breast Augmentation

Yes your pictures do show a “double bubble” deformity. This occurs when the base width of the breast is more narrow (or constricted) and the inframammary crease is tight; therefore it is more commonly a risk in patients with tuberous breast deformity that undergo augmentation. But it is possible in any patient with a tight inframammary crease who undergoes augmentation with an implant diameter larger than the base width of the breast. You increased the size of your implants... more

Correcting double bubble deformity

This does appear to be double bubble deformity. From your pictures it appears that this is due to too much lowering of the inframammary fold. I have had success correcting such asymmetries by converting to a cold-subfascial plane. In this way I create a supporting 'internal brassiere' to hold the implant and maintain a beautiful breast shape. I hope this helps! All the best, Rian A. Maercks M.D.

Double bubble

Yes, it looks like you have a double bubble. The implants may be too big for the pocket, and the fold may have been violated in accomodating the implants.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast deformity at 6 weeks - time and massage for now.

The history you give is a bit confusing, but given your photos, you certainly have a crease. If the fold was lowered, then this may certainly be a double bubble. Going to 600cc implants may certainly have required a lowering of the fold. However, there are times after a revision augmentation, particularly if any capsular contracture was present, where a remnant of the old capsule can create an indentation if not released. The dates you provide seem at odds with your description, but if you... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Double Bubble

Your photo's demonstrate a classic double bubble. Several surgical options exist to treat these including raising your present lower fold, releasing the old fold, or camouflage with filler volume.

Double Bubble after breast augmentation

Your photograph demonstrates well the two areas of crease formation on the base of your breast. It appears as though the higher crease is the edge of your breast at the site of your former inframammary fold and the new fold now sits lower on the chest wall. The area in between shows implant with a thinner covering This finding can happen for a variety of reasons. If the base of your breast ends sharply, rather than tapering down, the "step off"... more

Is This a Double Bubble and How Can I Correct It?

Yes your posted photos show an excellent example of the "double bubble" effect. Revision surgery may improve or try fat grafts to the area or both. Regards

Double Bubble Correction

The best way to deal with the double bubble sign is to raise the infra-mammary fold with what is called an internal capsulloraphy. That should help a lot. Breast implants can migrate and these are one of the risks of the surgery for breast augmentations. Nothing but the best, Dr. Lille

Fixing double bubble breast implant problem

The double contour that can develop across the lower half of the breast after under muscle implants can relate to 2 factors: One is lowering the original fold, which may be required to depending on the implant diameter, but the other relates to release of the pectoral muscle. If the crease pulls upward when you contract your pectoral muscle, then it is a combination animation deformity and double bubble. There are 2 options for correcting this: if there is enough coverage, you can convert to... more

Double Bubble

Thank you for the question and pictures. One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla). Yes, it looks like you might have double bubble... more