Breast augmentation - Am I experiencing a 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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8 answers to “Breast augmentation - Am I...”

A: Implant palpability

John P. Di Saia, MD

Hello, The ability to easily feel breast implants does not necessarily mean that bottoming out or double bubble is occurring. It can mean that you were really thin to start and there was little tissue to cover the implants. It can also have something to do with implant positioning. I would advise that you see... more

A: Talk to your surgeon

David J. Levens, MD

It is not uncommon to feel the implant in the lower portion that is covered by the chest muscle. This is a separate issue than "bottoming out" and "double bubble", two different possible findings that your surgeon will be able to sort out for you and make recommendations.

A: Implant palpability

Steven Wallach, MD

It is common to feel the implants along the bottom of the breast fold, especially if they are saline and you do not have a lot of breast tissue coverage. If you are concerned, I would recommend that you see your surgeon to be evaluated.

A: Follow up with your surgeon

Chia Chi Kao, MD

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... more

A: Implant Intimidation? Who's in Charge?

Athleo Louis Cambre, MD

Being able to feel the implant under your breast may be completely normal, and is nothing to be concerned about, especially if you are very thin, and if the implants are large, or both. "Bottoming-out" and "Double-Bubble" are two different situations where the implant is lower than the... more

A: You need to see your surgeon

Kenneth R. Francis, MD

To guess that either a double bubble or a bottoming out was occuring in your case without an examination would be difficult at best.  A follow up visit to your board certified plastic surgeon will either alleviate your fears or set in motion a plan to correct the condition.  Good luck.

A: You would need to be examined

Shahram Salemy, MD

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). ... more

A: Let's find out!

Richard P. Rand, MD

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... more

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