I have a double bubble 3 months post-op, will it go away? (Photos)

Question

I am 3 months post op. 400 cc mod plus profile under the muscle silicone implants. Is this going to go away? My dr is frustrating me with his lack of concern over this issue.

Richard Baxter, MD · Answer

You do have a significant double bubble and it is right to be concerned. There are 2 potential causes of double bubble: One is making the pocket extend below the natural bottom edge of the breast (inframammary fold) and the other relates to animation deformity. This is caused by detachment of the pectoral muscle with the dual plane method, resulting in the edge of the muscle adhering to the capsule where it pulls up. If you see the crease pull up with pectoral muscle contraction then that is the issue. It can be corrected by converting from the dual plane to the split muscle. If it is the pocket too low then internal sutures (called capsulorrhaphy) may be all that you need.

Daniel Barrett, MD · Answer

Dear Doniboost,
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

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry and congratulations on your surgery!

It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

It is crucial to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is important for healthy results.

It generally takes around 6 months to a year to see your final results. Your tissues will take time to relax and allow your implants to "Drop and Fluff" settling into place. Should a revision cross your mind, it is best to wait at least 6 months to a year before doing so.

Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Melih Erogul, MD (retired) · Answer

Hi and welcome to our forum!
The double-bubble occurs if the implant slips beneath the normal inframammary fold due to weak connective tissue, oversized implants, or by surgical division of the connective tissue itself. It usually does not self correct.
If severe, repair requires a pocket adjustment where the inframammary fold is reconstructed. 15% of cosmetic procedures may require a secondary touchup. One usually waits 6 months after the first procedure to allow for subsidence of swelling and the hypervascularity of healing.
Continue followup with your plastic surgeon.
Best wishes...

I have a double bubble 3 months post-op, will it go away? (Photos)

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