Whats the difference between double bubble and bottoming out?

When breast implants are too low, this is called bottoming out. The result is the nipples appearing too high and the lower pole of the breast being too full. It can happen with the implant staying above the inframammary fold (IMF) due to over stretching of the skin of the lower breasts, usually by an oversized breast implant. It can also happen when the breast implant slips below the IMF. 

When the breast implants slips below the IMF and the original indentation from the original IMF is still seen on the lower breast it is called a double bubble. The two "bubbles" are the folds in the breast above the duplicated IMFs. The higher IMF being the original one and the lower IMF due to the breast implant. This is usually only seen with placement of the breast implant behind the muscle.

While not common, both are well recognized problems with breast implants. Both can be addressed with breast augmentation revision surgery. The type of revision will depend on the details of the problem.

Thank you for your question. "Double bubble" is when you can see a clear demarcation between your breast tissue and the implant. "Bottoming out" is when your implant drop too far past the Inframammary folds. Hope that helps. DrMaz