Do I have a double bubble and will my scar ever go away? (Photo)
Doctor Answers 8
Asymmetry issues and scar after a peri-areolar breast lift and augmentation
Revision after donut mastopexy in breast augmentation.
Double bubble concerns with breast augmentation
Thanks for posting your question. I am happy to try and help you. It is important to remember that a board certified plastic surgeon will be your best resource when it comes to an accurate assessment of your situation, and concerns.
Having said that, your pictures do demonstrated that you have had your breast implant settle below the breast fold. So what you are seeing is the new lower breast fold is where the breast implant has settled to and the crease on the breast is actually the old fold or old crease of the breast. This occurs because of a few different factors and in any situation, not every person who gets a double bubble is getting because of the same reasons.
So here goes the most common causes, and remember your double may be because of only one of these or some combination a few of them. Each and every case is different. The repair is possible regardless of the cause(s). The type of repair will be different based upon what or how the double bubble occurred.
- sharp, well developed tight fold (IMF = inframammary fold)
- short distance from 6 o'clock position of areola and presurgical IMF
- tight strong tissues of the IMF inadequately released at surgery
- too large of a breast implant for the dimensions of the chest and breast
- too heavy of a breast implant for the tissues of the breast to support
- lower pole fallout
So the repair of the double bubble consists of rebuilding the fold, it is called IMF reconstruction and there are many methods to do this. It is best to see a plastic surgeon with experience IMF recons to assist you with this. It will require surgery. In the meantime, wear support.
Dr. Michael J. Brown
Northern Virginia Plastic Surgeon
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.