Double bubble on one side, implant won’t drop on the other side. Do I need a revision? (Photo)

There are two versions of double bubble: One is where the fold is lowered, leaving a groove across the breast where the original fold was, and the other relates to animation deformity. In this situation, the edge of the pectoral muscle adheres to the capsule and exerts traction. When the double bubble crease is closer to the nipple-areola (as yours appears to be with your arms raised) this is the more likely cause. If you see the crease pull up when you contract your pec, then that is the issue. The muscle has to be put back behind the implant and re-attached. Many examples on my website.

Dear Plucky760542,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Yes, one implant is sitting too low and one is sitting too high. Both pockets need to be revised if you want more symmetry.