Can this be fixed? Or do I need a whole new procedure? (Photo)

The double bubble deformity occurs when an implant sits lower than the mammary fold. The only way to correct this deformity will be through a surgical procedure.

Your implants are too large and are bottoming out with your nipples pointing upward. You will need smaller implants placed and the pockets plicated. You may also need a circumareola incision to reposition the nipple-areola complex.

Best Wishes,

Gary Horndeski, M.D.

Your implants are wider and bigger than your anatomy allows. Using in office sizers to determine your aesthetic goals and biodimensional analysis to determine maximum implant size, this would not have happened. Using cup size as a goal get women in trouble on a frequent basis. You'll need a revision surgery that requires reducing the pocket size (capsulorrhaphy, +/- mesh), and replacement of smaller implants. This surgery is more complex and longer than primary breast augmentation and should be performed by breast surgery experts. It will cost more than your original surgery unless you go back to your original surgeon, but do you think that's a good idea?

Dear RSMember9448,
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

It is hard to tell wether you have a double-bubble or an encapsulation, based on your photos. Essentially, there is a number of factors that can contribute to your appearance. If you have not done so already, return to your original surgeon to voice your concerns. Otherwise, seek a second opinion from a board certified plastic surgeon.

I hope this helps,
best of luck !