Breast Implant Revision Q&A
86%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
154 Reviews
Breast Implant Revisionbefore & after photos
View Before and Afters

Average Breast Implant Revision Cost: $7,100

Learn about Breast Implant Revision

940 people and 512 doctors are talking about Breast Implant Revision

Get Free Email Updates

Are there Any Other Choices to Fix Double Bubble Other than Lowering Crease? (photo)

asked 4 months ago by 30G Marie in Denmark
Latest answer by Thomas Fiala, MD
Question viewed 388 times
Tags: crease, double bubble

January 2011:1.BA 550cc HP submuscular, resulted in dubble bubble, muscle flex distortion and capsular contractur. May 2011: Explant. October 2011: 2.BA 550cc subglandular to fix previous problems. Now my left crease sits lower than the right one, creating a tiny double bubble and making breasts uneven. PS suggests lowering right crease and cutting off excessive skin (leaving a big scar)! Surely I must have other choices? Could a larger implant fill out the skin more and erase the DB? Hugs Marie

12 answers to Are there Any Other Choices to Fix Double Bubble Other than Lowering Crease? (photo)

+1

Tight IMF crease

You have a tight pre-existing IMF crease, which creates the "double bubble" look. There is one other non-surgical option you could try: fill the area of the crease with careful use of fillers, such as Sculptra. This would help build that area up, reducing the indentation - much like using a filler to improve a wrinkle or crease on the face. Fat grafting to the area could also work. Do not use a larger implant - that will make the problem worse... more
Thomas Fiala, MD

Altamonte Springs Plastic Surgeon
+1

Double Bubble Correction with Too Large Implants

After reviewing your photographs Marie, you appear to be young and have already undergone 3 breast surgeries and now about to undergo your 4th. From your most recent photograph with the 550cc silicone implants, your breasts look inappropriately large for your frame. Also, since the implants are subglandular, there is nothing supporting them other than the skin envelope. In the coming years, your breasts are going to droop and you will need ANOTHER operation. My advice... more
Gary M. Horndeski, MD

Houston Plastic Surgeon
+1

Double-bubble and revisional breast surgery

This is a complex issue and there is no simple answer although the various responses posted have aspects of it. In my opinion and experience, the original double-bubble was caused by too big (wide) an implant and inadequate release of the pectoralis muscle in the lower pole of the left breast. This problem would normally be solved by changing from a subpectoral position to a subglandular position of the implant even if the implant is still too big and wide to fit properly behind the breast,... more
Scott L. Replogle, MD

Denver Plastic Surgeon
+1

Double bubble

I believe a accellular dermal matrix would help with the double bubble and not require lowering the fold. It would also give more support to help prevent bottoming out. Donald R. Nunn MD Atlanta Plastic Surgeon.
Donald Nunn, MD, DDS

Atlanta Plastic Surgeon
+1

Maybe another option - composite breast augmentation

Ultimately what you are trying to achieve is two breasts that look the same. From your before picture (though the angle is not ideal) it appears there was some difference in shape between the breasts to start with in that the fold on the left is more angled than the right. In your after pictures your natural fold on the left is clearly more angled laterally than the rightIf you are otherwise happy with the size of your breasts and the breasts are otherwise soft and stable, I would... more
Jeffrey Hartog, MD

Orlando Plastic Surgeon
+1

Capsule Repair with Strattice

Every plastic surgeon who has commented makes a valid point - however, I am going to agree with Dr. Baxter that if you want to keep your size and subglandular position the best bet is to repair the fold/capsule and support with Strattice. We have going on 3 year data with Strattice for this issue and the results seem to hold up. Please note that i consult and am a speaker for Lifecell - the makers of Strattice and Alloderm.
Jason Pozner, MD

Boca Raton Plastic Surgeon

www.spsboca.com

+1

Small Double Bubble Treatment Options In Breast Augmentation

Given the small size of your double bubble, you may be better off to leave it alone and just live with it. While the excision choice is one treatment approach, a 'non-scar' option would be to downsize your implants and suture back down the fold internally which has been expanded due to the size of the implants. Your choices for correction, as you can see, are not likely that appealing and the problem at this point may be better than the solutions.
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon
+1

Double bubble needs elevation of crease

The left crease needs to be elevated internaly by reattaching the area of the double bubble to the chest wall. there eill be no external incisions.
Stephen R. Colen, DDS, MD

New York Plastic Surgeon
+1

DOuble bubble

In your case it sounds like a slightly smaller implant and fixing the pocket internally may be the solution. Always better to say in person after a full exam.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

2 options for double bubble and animation problem without lowering crease

Double bubble and animation deformity are often caused by the same thing, which has to do with the way the muscle is cut from its attachment to the rib cage. If there is some breast tissue for coverage of the central part of the breast then converting to a split muscle plane will correct it. In thinner patients a strattice graft will also correct it and add more coverage like an internal bra. Examples of both options on my website.
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Double Bubble

First , the cause of the double bubble - too big of an implant that does not fit in the space between your nipple and the inframammary fold. Thedouble bubble is the fullness of your breast tissue stopping before the fullness of the implant does. It's not a difficult fix, put in a smaller implant, under the muscle with a dual plane technique, and an internal recreation of the fold by capsular tightening. And maybe get a second opinion before doing any more surgery. But if your goal is an... more
Ronald V. DeMars, MD

Portland Plastic Surgeon
+1

Giving up on large breast implants

The double bubble is partly caused by the very full volume and projection of the HP implant chosen. The subglandular 'solution' now gives a ball like shape to the breast and something less than natural. You may be best off with a smaller more moderate profile implant, and a repair and set of the breast fold. The current implant just does not fit within the breast envelope. Best of luck, peterejohnsonmd.com
Peter E. Johnson, MD

Chicago Plastic Surgeon

Ask a question