Is this dubble bubble? Do I need a revision? (Photo)

Dear Awesome7467,
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

Your implants are wider than your chest wall, they are too big for you. Also, your implants are low on the chest wall. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Your implant is bottoming out a bit. I would offer you a revision but whether you should do it depends on how much it bothers you. It will not get better on its own, and will likely get worse with time. However, it's not urgent so it can be done when it works for you.

Your implants are too large for your tissue to support and have bottomed out some. This will make the scars appear to be higher even though they have not moved. You would do best with smaller implants and tightening your pockets. You may need mesh for more support.