Breast Augmentation: Q&A

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Breast Augmentation Bottoming out or Double Bubble Effect?

I am four months post op from breast augmentation. I am able to feel the entire bottom of breast implant at the crease of my breasts. I am scared that way my breasts look I am either having the bottoming out effect or the double bubble effect. Is this an occurence in either complication?

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breast deformity double bubble bottom out

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16 Doctor Answers | Asked by misty4520 in north carolina

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Being able to "feel" the implant at the inframammary crease level is normal especially in thin patients and especially with saline implants. This is not bottoming out or a double-bubble. "Bottoming out" occurs when the implant descends below the crease and the breast loses its fullness in the upper pole as it settles into the lower pole. If you have a crease incision, you will see it riding up onto the lower pole of the breast. A "double-bubble" occurs when the inframammary crease is... more

Breast Implant Bottoming Out Different from Double Bubble

Thank you for your question. Bottoming out refers to the Breast Implant dropping low under the breast and creating the appearance of the breast mound below the Nipple-the Nipple -Areola appears too high on the breast. With Bottoming Out of the Breast Implant however, the Inframammary Crease-the fold beneath your breast is intact. The Double Bubble Breast Implant occurs when the Inframammary Crease is violated and the Breast Implant slides below the crease. This creates a second area of... more

Follow up with your surgeon

These complications have occured, however it is difficult to diagnosis without an examination. If you are unhappy with your results or if you feel something is wrong or does not look right, you need to contact your doctor. He will examine you and determine if either of these are happening or if you are a thin patient, you will be more likely to feel the implants more than other patients. If you are unsure about your results dont hesistate to contact your doctor, it is best to address... more

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You would need to be examined

It's difficult to know without an examination, but both bottoming out or a double bubble can happen after breast augmentation. On the other hand, if you are thin and had saline breast implants, the edges of the implant can be felt (this can sometimes occur with silicone implants, although it's less common). I would discuss your concerns with the surgeon who performed the procedure, and if needed, seek a second opinion with a Board Certified Plastic Surgeon in your region. If everything... more

Bottoming Out of Breast Implants?

Thank you for the question. It is not common for patients to be able to feel the "the bottom of the breast implants" when the breast implants have fully settled. This does not necessarily mean the breast implants have bottomed out or that there is a double bubble present. 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... more

Bottoming out or Double Bubble

An exam or photo can answer your question. Bottoming out is due to the lower part of the breast stretching out and the nipple may rise and look high. A double bubble occurs with a subpectoral implant that goes too far below the breast fold with the normal breast sitting on top of it producing the double bubble appearance. See your plastic surgeon for an exam.

Bottoming out or double bubble

Hello, Its hard to decide without photos but as a rule of thumb both bottoming out and double bubble are breast appearence problems more than implant palbability. Share some photos or visit your plastic surgeon. If your breast looks great chances are you do not have either. All the best, Dr Repta

Feeling the implant does not equal boottoming out

“bottoming out” is the term used to describe the condition which occurs when the breast tends to look as if it has descended on the chest wall after previous surgery, whether the surgery involved implants, a lift, or a reduction. In the case of “bottomed out” implants, sutures can often be placed in the lower pole of the breast to re-elevate the breast on the chest wall. This is called a capsullorraphy and can achieve excellent tresults... more

Bottoming out or double bubble

Yes, feeling the implant at the bottom of your breast can occur with both bottoming out and the double bubble complication.

Breast implants bottoming out

If you feel the implants, especially saline implants are usually felt, that is different than bottoming out. Bottoming out is when the implant is lower and below the inframammary line. If you stand in front of the mirror you will see the difference unless you are bottoming out on both. A picture will help.

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