There is a crease on my lower left breast. Is this a botch job? (photos)

I had a breast augmentation done in early 2013. Since healing, I noticed a crease on my lower left breast. I went back to my P/S to show him because I am pretty upset with it. My original breasts were slightly different in size. P/S said to get the cleavage to look the same on both sides, this was a side effect...along those lines. I'm embarrassed of it and don't know if this is a botch job or if there is any solution to fix my problem. Any suggestions?

Doctor Answers 17

Double bubble

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Thank you for your question. After reviewing your pictures it appears you have a double bubble deformity. This is something that can be fixed. I would suggest seeing a local board certified plastic surgeon. Best of luck.

Birmingham Plastic Surgeon
4.8 out of 5 stars 334 reviews

Implant malpostion

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You indeed have implant malpositon aka double bubble deformity that can be repaired with a variety of techniques. Discuss with your surgeon and do not hesitate to seek another surgeon for second opinion.  Good luck. 

Gaurav Bharti, MD, FACS
Charlotte Plastic Surgeon
5.0 out of 5 stars 124 reviews

Implant issue

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You have a double bubble  which can be fixed.  Best to be seen unperson to be properly evaluated. Best of luck.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

There is a crease on my lower left breast.

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The image looks like you have a double bubble. There are effective techniques to treat this. See your original plastic surgeon for advice. A second opinion can be helpful as well. Good luck. 

Robert Graper, MD
Charlotte Plastic Surgeon
4.4 out of 5 stars 27 reviews


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It appears to be a double bubble.  Discuss with your surgeon the options available to correct it. It is not "botched' but a revision would be needed to correct it.

Camille Cash, MD
Houston Plastic Surgeon
4.9 out of 5 stars 36 reviews

Not a botched job but rather a common problem

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A double bubble deformity is a common issue following breast augmentation.  If you had a high inframmary fold and a short nipple to fold distance, the act of release or lowering the fold to create space of the implant can create this deformity.  It is fixable.  The residual fold and its dermal attachments need to be released from the skin to allow the implant to sit unmolested.  Talk to your plastic surgeon.

Andrew Gear, MD
Charlotte Plastic Surgeon
5.0 out of 5 stars 29 reviews

Double Bubble

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Judging by your photos you show signs of what is referred to as "double bubble". Double bubble happens when an implant drops down behind the natural fold (inframammary crease) where the lower breast meets the chest, rather than forward into the breast. This shifting creates an unnatural indentation or line across the bottom of the breast; it is particularly visible when the arms are lifted above the head.  There are several ways to correct double bubble, all of which involve surgical intervention. I suggest discussing these options with your board certified plastic surgeon. Good luck! 

Brian S. Glatt, MD, FACS
Morristown Plastic Surgeon
5.0 out of 5 stars 59 reviews

Breast augmentation question

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 You appear to have a "double bubble" deformity of your right breast. This occurs when the crease below the breast is lowered and the original crease is still visible. This can happen with any breast augmentation surgery where the fold is lowered. Discuss your concerns with your surgeon. There are certainly ways that this can be fixed.

Post op crease related to sub muscular implant

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Your old breast crease remains because it is still attached to the top of the muscle. The implant is below the muscle. It is a common problem in placing the implant below the muscle. You will see many people on real self with the same concern. 

Richard Sadove, MD
Gainesville Plastic Surgeon
4.9 out of 5 stars 32 reviews

Double bubble

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 Not necessarily botched surgery, but something that could definitely benefit from a revision. See your previous plastic surgeon to see if they will perform the revision at a reduced cost, otherwise seek some new consultations to discuss correction of the deformity. 

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.