How to Fix What Looks Like a Double Bubble? (photo)

I had BA 6 weeks ago. I have 425cc saline HP implants subpectoral (Dual Plane). As each week passes it gets worse. I noticed after the first week that it looked like I had a double bubble on my right breast. Now my left breast there is a crease developing on the inside and under as well. I did not have any pstosis in my left breast and minor in my right prior to surgery. My PS did not think a lift was necessary. I am totally confused and need some guidance.

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7 Doctor Answers | Asked by coco2883

Doctor Answers (7)
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Fix Double Bubble versus Snoopy Deformity after Breast Augmentation

Thank you for your question. You do not have a double bubble. A double bubble occurs when the breast implant is placed below the inframammary crease and from the side you see two "bubbles' the breast above and the breast implant below. The chest muscle is holding your left breast implant higher than the right side. The implant cannot fall down into the breast skin envelope. This can cause the "snoopy deformity" which viewed from the side shows the high implant-Snoopy's forehead and the... more

Misshapen breast after breast implant and capsular contracture

I do not think you need a breast lift. One thing you can say for sure from you photos is the problem is worse at 6 weeks than it was at 2 weeks. This looks like an early aggressive capsular contracture. You might try endermologie ASAP to soften and stretch the scar but I suspect you will need revision surgery. You need to know that you are now always at high risk for recurrent capsular contracture no matter what is done or who does it. I hope you realize that this format of posting... more

Capsular contracture?

It is always best to see pre and post-op photos and perform an exam. It looks like the one on the right is not filling the lower pole.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Correcting the double bubble deformity

I am sorry you are having this problem. This is a complex problem and may be influenced by several factors. It would be nice to examine you in person and measure everything from different angles. However, based on the single photo, it looks like you have a tight, high inframammary fold, right higher then left. As a result, the sub muscular implant is pushed down and tries to squeeze out behind the fold. From the side, you see breast tissue sitting on top of the fold... more

? early capsular contracture

We would benefit from seeing your preop look, but considering the difference between the 2 and 6 week results, you look like you might be developing an early and very aggressive capsular contracture. Are they feeling harder and harder? If so, this is a problem you need to address with your surgeon.

Double bubble

The implants are not filling up the skin envelope because they are flattened by the pectoral muscles, which overlie their upper poles. Also, the skin is a little loose. There are three solutions: a. Tighten the skin with a breast lift b. Place the implants in front of the muscle - they will fill out the skin better c. Exchange the present implants for really large ones to 'take up' the extra skin (not my choice)

Double bubble

Since your implants are placed below your pectoral, or chest muscles, the muscle cradle will not allow the implants go south. If you have the genetic propensity for sagging of your breast tissue the breast tissue will go south and fall off of the breast mound thus creating the double bubble effect. The solution is to have a breast lift to put the breast tissue back on top of the hill. Since sagging is caused by your genetic makeup do not be surprised if years down... more