Double Bubble - could it be muscle attached to the scar? (Photos)

Question

I had my larger implants, removed two years ago and about eight months ago had silicone gummy implants put in. They are much smaller than my original saline implants. We went dual plane, because that is how my old implants were placed. My surgeon says this isn’t a “typical” double bubble deformity because the implant is very small. He believes that the muscle attached to the scar and wants to “release it” in office. I’ve never heard of this so I wanted to see if this is actually a good thing to agree with or if I should get more opinions. I don’t want anything to mess it up because otherwise, I am loving the results.

Ira H. Rex lll, MD · Answer

Sometimes a double bubble situation can be a very complicated.  It is hard to give you any usable advice without a good examination.  The photographs you have taken are not from a good angle to assess a double bubble.  Double bubbles have a variety of causes which are usually fixable with revision surgery.  It seems you should go with your intuition on deciding whether to see a second opinion plastic surgeon.  Good luck with things.

Camille Cash, MD · Answer

From the submitted photo and description it could be that the issue is as your surgeon advised.  However without an exam and more information it's difficult to say for sure. It seems your surgeon is willing to work with you to address the concerns and he has had the benefit of evaluating you in person.

Zoran Potparic, MD · Answer

This photo is not sufficient for any meaningful comment and suggestion, unfortunately. However, it may be that postoperative scar attachment is creating breast deformity? A series of better photos or in-person evaluation would help. Good luck.

Ram Kalus, MD, FACS · Answer

Thanks for your question, history and photo. Based on your description (your photos are limited) it does not sound as though your concerns can be addressed “in the office”, but more than likely require revision surgery.

Please consult with an experienced board certified plastic surgeon who can advise you. As a rule, double bubble deformities can vary, but either your description of the dual plane (under the muscle) implant position, it sounds like your double bubble deformity is related to muscle activation and this suggests that your implants may be best re-positioned above the muscle.

Again, a second opinion with an experience plastic surgeon would be your best next bet. Best of luck to you.

Connie Hiers, MD, FACS · Answer

Just based on your one photo, it could well be due to scar tissue, and hopefully this can be released in the office.

Double Bubble - could it be muscle attached to the scar? (Photos)

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Double Bubble - could it be muscle attached to the scar? (Photos)

Answers (5)

Answer: Good question

Answer: Good question

Answer: Breast

Answer: Breast

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.