Do you think I need a lift to correct this double bubble/asymmetry? (Photos)

Good morning,
You have bottoming out, and the correct procedure is the Original Internal Bra, my strong permanent internal suturing technique. I first developed this over 20 years ago, and today it remains the most common revision procedure I perform, at least 5-6 times a week- it works and it lasts! Now if you are asking this question because you have been told a breast lift will fix it, then you have been told wrong- 100% absolutely wrong. A breast lift lifts the skin and the nipple position, not the implant position and certainly won't correct bottoming out. I can't tell you how many patients I have seen in the office with full anchor scars and still have bottoming out after they were promised a lift would fix it. Now I will add that your left nipple (my right in the photo) is already borderline low, so I would consider repositioning your nipples to the same level at the same time we do the Internal Bra, but that's merely to improve your nipple symmetry, not as a means of repairing your bottoming out.

At this time, I recommend a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, the implants can be exchanged for smaller ones and you will need plication of the inframammary fold.

Best Wishes,

Gary Horndeski, M.D.

Dear AKing77,
though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You need to internally repair and lift your inferior fold to correct this area. A breast lift will not fix this issue. Your implants may be a little heavy for your tissue. Please discuss this with your surgeon.

Hi! Based on your photos is necessary a breast lifting, because your left breast has a ptosis grade I-II, also is necessary to correct the pocket of the implants.

Dear AKing,
Unfortunately, you require a bilateral revision. The one breast is too low (bottomed out) and needs to be sutured internally at the base, and you may require a unilateral or bilaterally lift.
Pre-op photos would help in this diagnosis.
Dr. Taranow

yes - you have a significant fold malposition (double bubble). I correct these by fixing the fold and then supporting the fold with galaflex mesh. if the implants are not that old they dont need to be changed

A properly done crease reconstruction with strong dissolvable sutures has a 95% success rate in my experience if you have reasonable tissues to work with. I do not routinely place other foreign materials and have only needed to do that twice in my career. A "lift" is only needed if your nipples sit too low and it doesn't look like they will after repairing the crease. Please note that it is critical to wear a well fit underwire bra and to avoid all pec muscle and bouncy exercises like running for 3 full months to optimize the success rate. Also, never try to go bigger at the same time.