22, 440cc, Motiva, smooth round, extra high, is this a double bubble deformity? How can it be fixed? (Photos)

Question

I'm a 22 year old female, got my first breast augmentation November of 2022, after about 4-5 months, I noticed a faint line/dent along the middle of my breasts that gets more pronounced when I flex my muscles. I got 440cc motiva smooth round extra high profile implants, me and my surgeon had agreed on under the muscle. A- can this be fixed without surgery? B- what is this deformity called exactly and how/why did it happen? 3- how can it be fixed?

Daniel Barrett, MD · Answer

Dear samxxbot,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Robert M. Lowen, MD · Answer

Maybe. It looks like a bit too much distance and skin excess between nipple and medial inframammary fold. The way the implant hangs in the loose skin allows the folding or deformation of the implant shell that is causing this appearance.  This might be improved by tightening up the capsule in that area and taking up some of the slack.
   However, we are not being shown an animation view, with flexion of the pectoralis muscles. There is the possibility that the surgeon over-released the pectoralis too high on its medial insertion on the sternum.  That is a different situation and harder to correct and would likely need some kind of mesh or ADM to close off that space.
  An in-person exam with a board-certified plastic surgeon would be needed to tease out these subtleties.

Gerald Minniti, MD, FACS · Answer

You either don't live in NY, and live outside the US, or you went to another country; Motiva are not available yet in the US. Regardless, you have double bubble and that faint shadow is your old inframammary fold. It can't be fixed with a surgery and will require a capsulorrhaphy, preferably with mesh to help improve the durability of the results.

Connie Hiers, MD, FACS · Answer

Your implants are beginning to bottom out from the weight. I would suggest going smaller and tightening the lower pocket. You might even need mesh for support.  This happens when tissue does not support the weight of the implants.  To prevent it from becoming worse, always wear good supporting bras.

Douglas Taranow, DO, FACOS · Answer

You appear to have a very slight double bubble which is caused by the old breast crease   It can only be fixed with surgery, however, yours is so small I wouldn’t suggest doing anything with it. If you wait for several more months, it may improve on its own.

22, 440cc, Motiva, smooth round, extra high, is this a double bubble deformity? How can it be fixed? (Photos)

Answers (8)

Answer: Implants

Answer: Implants

Answer: Double bubble

Answer: Double bubble

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Everything you need to know about Breast Implant Revision

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22, 440cc, Motiva, smooth round, extra high, is this a double bubble deformity? How can it be fixed? (Photos)

Answers (8)

Answer: Implants

Answer: Implants

Answer: Double bubble

Answer: Double bubble

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Recommended reading

Everything you need to know about Breast Implant Revision

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