Double Bubble? Will It Go Away? (photo)

Question

I'm 24, under the muscle, 375cc saline round. Right now i'm 2 months PO and I love the way they look! Before surgery there was some discussion about having a lift, but my surgeon said he doesn't recommend a lift especially for someone for my age and should wait to have kids. SO needless to say I got what I wanted but I notice when I lift my arms up, I can see the implant behind my breast, is this a double bubble?? what can I do to get rid of it? How did this happen? PLEASE HELP?

Naveen Setty, MD · Answer

Thanks for your pictures and questions. It does appear that you have a double bubble deformity. It is likely due to the implant sitting below your natural fold at the bottom of your breast. You may see some softening of the issue with time and less visibility of the deformity. However, it is unlikely to completely correct. If you only see the issue when raising your arms, it may not be worth it to undergo a revision surgery. Wait at least 6 months and preferably one year. Good luck!

Farhad Rafizadeh, MD · Answer

Your picture shows a double bubble deformity. It is normally caused by a tight fold under the breast and the fact that the implant pocket comes below the fold. Unfortunately this condition doesn't correct itself. The correction will involve repairing the lower part of the pocket and raising the implant

Vincent N. Zubowicz, MD · Answer

If the breast implant diameter is to be larger than the native breast is probably better to place it in a sub glandular position to allow the base of the breast to assume the diameter of the prosthesis.

Ronald Schuster, MD · Answer

Yes it is a double bubble. The implant is not filling out the lower portion of the breast. Only additional surgery will improve this, but if you only see it when you raise your arms high it might not be important enough for you. Discuss with your surgeon at your next appointment.

Brian K. Reedy, MD · Answer

The condition of your breast is unfortunately a "double bubble" deformity. It will not go away. You will require a second surgery that is more complicated than the initial breast augment. Make sure to discuss this with your PS. However, you may want to seek a second opinion with a PS who specializes in revisional breast surgery. Good Luck!

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your photographs.  The area at the bottom of your breast represents a double bubble it may soften but unlikely. It represents the implant sitting below the old natural tight crease.  This could best managed by surgical correction.

	Dr. ES

Terrence Scamp, MBBS, FRACS · Answer

Hello there

	Extreme elevation of the arms may create a distortion of the breast contour that is not there in normal positions . You are still very early after surgery and things may change a lot over the ensuing months so just attend your usual post-operative appointments and see how it progresses . It may turn out to not be a problem .

	Cheers

	Terrence Scamp

Sultan Hassan, MD, FRCS(Plast) · Answer

Thank you for your question and pictures. You almost answer the question yourself. Yes, this is double bubble, however you love the way your breast look in normal repose! So give time for your breasts to settle, as your only two months postop

Curtis Wong, MD · Answer

will occur when your breast diameter or footprint is smaller then the diameter of the implant. It will get better as time goes on but may not go away completely. There are methods for improving this but at additional costs. I assume you have a tremendous improvement in your overall appearances and it really comes down to how important is it for you to have 'perfect' breasts as opposed to much better breasts. As time passes, it could become less and less of an issue for you so you are encouraged to wait at least a year before considering more surgery.

Darryl J. Blinski, MD · Answer

No the "double bubble" effect will not self correct! Either try fat gratfs with riggotomies or change placement of the implants.

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