1 year post breast augmentation - Is this a double bubble? (photos)

It's not uncommon for the transition from the implant to the natural breast tissue to be slightly visible, especially in the early stages of the healing process. Some degree of visibility or palpability of the implant edges may occur, depending on factors such as the type and size of the implant, the placement technique, and the amount of natural breast tissue present.

However, if you are unhappy with the overall appearance of your breasts and feel that they have a very fake or obvious look, it's important to discuss your concerns with your surgeon. Open and honest communication is key in addressing any post-operative concerns or dissatisfaction.

During a follow-up appointment, express your specific aesthetic goals and concerns to your surgeon. They should listen to your concerns and work with you to understand your desired outcome. If you feel that the final result does not meet your expectations, it's reasonable to discuss the possibility of revision surgery or exploring alternative options.

Keep in mind that it's important to have realistic expectations and understand the limitations of any surgical procedure. Revision surgery is a personal decision that should be made in consultation with your surgeon after a thorough evaluation of your individual case.

Consider seeking a second opinion from a qualified plastic surgeon to get a different perspective on your situation. Another surgeon may offer additional insights or suggestions based on their expertise and experience.

Ultimately, your satisfaction and well-being are important, so it's crucial to have open and productive communication with your surgeon to address your concerns and explore potential solutions.

I hope this helps,
Best of luck !

The problem that you are seeing is an elongated distance from the nipple to the breast fold. This makes the breasts look low or "bottomed out". A double bubble deformity is a different entity. The issue you are noticing can be from too large of an implant, poor technique, need for a breast lift (that was not done), poor breast lifting technique performed, or all of the above combined. I would recommend downsizing to a smaller implant and performing a breast lift if you were my patient. Best of luck!
-Dr. Gianfranco Frojo

Dear Amberxo,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It's difficult to comment exactly since there are no preoperative photographs. It's very common for the inframammary fold to lower following this procedure. Due to the weight of the implant and tissue laxity, there is more lowering over time. At this time, a breast lift could be performed but this will result in permanent scars. Smaller implants are also possible. Your body frame appears to be small which also adds to a more unnatural appearance.

Yes, it appears like double bubble, more so on one side. The other side is just slipping off the chest wall in the lateral direction. And yes, it is the transition from where breast tissue covers the implant and just subcutaneous tissue covering the implant; that transition is the inframammary fold. Having shaped implants would not have made a difference in the 'look', with or without the double bubble. More importantly, shaped implants are textured, which rarely have the desired 'velcro' effect, and so they can also dropout like smooth shelled devices. Also, shaped implants with their textured surface carry a small risk of a cancer called lymphoma. What will improve the breasts' appearance is fixing the pockets and securing them with an internal absorbable mesh.

It looks like there is some small deformity there that could be associated with double bubble? Only on the basis of in person exam one could answer that question. Fat grafting may help to camouflage that. Major issue is that you have very large implants for your torso, stretching your tissues so that every small irregularity as well as implants contoure is visible uinder breast envelope. Hope this helps.

Thank you for sharing your question and photographs. Nothing replaces an in-person examination of your tissues but it does appear that you have a double bubble of at least your left and likely both breasts which will require a surgical revision in order to correct, while also allowing you to downsize your implants.

A revision is needed for improvement of the contour irregularity. You may want to consider an implant exchange to smaller implants as well as bioabsorbable mesh to support the tissues. I've included a video I hope you find helpful.

Thanks for your question. It doesn't look like you have a "double bubble." From you photos, it looks like you have a good result.

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.