What are reasons for or causes of double bubble?
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Doctor Answers 7
Double bubble causes
Constricted, tubular, or tuberous breast shape is when the natural skin crease is too high, and in more severe forms, too narrow. If the lower edge of the implant is lined up with the natural crease, it would be too high relative to the nipples and the rib cage. In this case, the crease must be lowered and/or widened to properly place the implant. Sometimes, soft tissue releases such as radial scoring are used to help open up the narrow base of the natural breast and allow the crease to come down. The natural tissues sometimes don't cooperate fully, and a remnant of the old crease is still visible. This usually improves over time as the tissues stretch and the implant settles, but it is not always perfect. In severe cases of tuberous breasts, the edges of the tight, narrow mound of natural breast tissue can be visible all the way around over the softer curve of the implant, but usually it is only a visible problem in the lower poles of the breasts. Because of this, severely tuberous breasts are a major challenge in breast augmentation.
When the implant is too low, it can sit with its lower edge below a normally positioned skin crease. It could be caused by overly large and heavy implants, poor tissue strength, a variant shape of the rib cage, or poor surgical technique. It does not get better with time, and requires surgery to correct it, often using biomesh (such as Strattice or Alloderm) to reinforce the bottom of the implant pocket.
Double Bubble breast implant revisionary surgery #plasticsurgery
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- Chosen implant being too big or heavy for the supporting tissues causing them to stretch sometimes beneath the inframammary crease.
- Poorly positioned implants
- Tuberous breasts
A double bubble deformity describes seeing a separate bulge or rounded area under the lower breast fold. This can be related to a band of tension remaining where a previous breast crease was- typically something that stretches out and resolves over time, or it can be related to a bottomed out implant and compromised breast fold. You must have your Plastic Surgeon assess you in person to determine if you have an issue requiring correction or not.
All the best
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.