What Are Some Risks I Can Expect Getting Breast Augmentation and How to Prevent Them? Doctor Answers, Tips
Breast Augmentation: Q&A
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What Are Some Risks I Can Expect Getting Breast Augmentation and How to Prevent Them?

I have read testimonials and seen many a pictures of boob jobs gone wrong. My greatest fear is that the implants will 'bottom out' (when the implants drop and patients nipples are pointed skyward), and double-bubbling. Visually both are VERY unappealing, I would like to know what causes this, how to avoid it, and how often this actually happens to patients?

7 Doctor Answers | Asked by sa rah in Florida
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Risks of Breast Augmentation Double Bubble and Bottoming Out

Sa Ra, Thank you for your important question. Double Bubble after Breast Augmentation most commonly happens when a patient needs a Breast Lift but only has a Breast Augmentation. To compensate the Surgeon tries to place the Implant too low and violates the Inframammary Fold or Breast Crease. The Implant bulges below the natural Breast and creates a second "bubble." Snoopy Deformity happens when a Breast Implant is placed in a proper position above the Inframammary Fold... more
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Bottoming out and Double bubble are preventable problems in Breast Augmentation

The double bubble or bottoming out occurs when the inframammary fold (crease at bottom of breast) is too aggressively lowered. This can be caused by the surgeon at the time of surgery or by selecting an implant that is either too large or too wide for your breast/body. Select your surgeon and breast implants carefully to avoid this preventable problem. I hope this helps.
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Complications of breast augmentation

I think the key to breast surgery is to choose both surgeon and implants wisely. I find a lot of patient come in wanting very large implants. Many times these implants are too large for the body and patient education is key. Even with this, double bubbling, bottoming out, etc.. can happen but certainly at a lower rate.

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Complications of breast augmentation

Your concern is valid. In any elective surgery, we want to avoid any complication. There are potential risks of surgery, most commonly bleeding and infection as well as scar and pain. Breast augmentation is a very safe procedure when done to healthy patient, and by a qualified plastic surgeon. There is a potential for double bubble or bottoming out when implants are too large or when the implant pocket is dissected to low. However, this is rare as well.... more
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Bottoming Out and Double Bubble after Breast Augmentation

Hello, Bottoming out is caused by lowering the lower fold of the breast excessively combined with too large and, therefore, too heavy an implant. The double bubble is usually associated with augmentation in breasts that have a developmental abnormality. The bottom fold is too high or the breast is constricted and tuberous. These problems need to be corrected at the time of the augmentation. Again, the breast implant size needs to be appropriate to your... more
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Avoidance Of Augmentation Problems

I agree with your assessment that bottoming out and double bubbling are very unappealing. Your best bet to lessen the chances of problems in general is to use a board-cerified PLASTIC surgeon. You will lessen the chances of developing these specific problems if you choose implants which are appropriate for your breasts and are not overly large.
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Breast Augmentation: Complications and Risks, how to get that perfect result

Breast Augmentation is one of the most common aesthetic surgeries performed. When performed correctly by a board certified plastic surgeon, you can attain sensual, sexy and perky results in a very safe manner. When done incorrectly, results can be devastating and difficult to correct. The important factors to ensure a beautiful final product are: Implant placement (under or over the muscle), incision location, implant size, and implant type (silicone or saline). I... more
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