22 Plastic Surgery

Thank you for your question. Best way to think about a double bubble is that it’s a structural problem:  the implant has slipped down under the supporting ligaments of the breast.  This type of problem needs a structural fix:  repairing the bottom attachments of the breast.  Fat grafting does not repair this and is a mere “cover up” of the underlying problem.  For small double bubbles, this can sometimes be reasonable.  However, for most problems, it will fall short of a good fix.  

Best wishes.

Thank you for your question and photos.  Overall the breast has a nice shape and fullness, but the lower pole is a little “tight” or mildly “hypoplastic”.  To really round this out, an implant will be best.  For often a slightly lesser fullness or roundness, fat grafting can be a great tool, which allows you to avoid the use of an implant. 

Thank you for your question.  Generally saline implants above the muscle are less favorable because of the scalloping and ripples that can be see or felt.  It does all depend on how much soft tissue coverage you have though (how much breast tissue).  You cannot likely find many photos because it is not often done.  Best advice is to go to a few consultations with board certified plastic surgeons who can examine you and determine the best plan for you.