My PS says I'm going to end up with double bubble. Will it fade out?
Doctor Answers 3
Large implants produce double bubble
Gary Horndeski, M.D.
Your surgeon seems to be preparing you for a potential less-than-perfect outcome. That might well be honest and appropriate, but without a personal examination or at least photos of your anatomy, it really is impossible to predict.
And that is true regardless of implant size. You don't list your height or weight, only that you want to go from a 32A to "at least 32 D." 32 implies a smaller more petite frame, but I would think you need somewhat larger implants to go up "at least" 3 cup sizes. And of course, that also depends on the bra manufacturer. Goal photographs and trying on sizers in a bra and a stretchy top can help your surgeon determine more closely the best implant size and profile to achieve your goals--much better than simply stating a cup-size goal.
If you are petite as I think you must be (32 A, narrower-profile implant choice), then I would suggest silicone gel submuscular implants--saline implants in a thin, small-breast woman, especially submammary, would likely both feel unnatural and have visible or palpable rippling.
Double bubble can occur with silicone or saline, and the younger and more-firm your skin and tissues are, as well as the degree of "sharpness" of your present Inframammary crease (IMC), will determine whether or not a new crease can be created without the "old one" still being visible. Over time, a visible double bubble can diminish, but this happens more with loose or more stretchy skin (older patient), less well-defined crease (more of a curve than a sharp line), and the more weight of the implant (size) the better to help stretch and round-out the old IMC.
Don't' go for Cheap; go for once and best, even if it costs a bit more. Think about the "cost" of repeat surgery to get it right, not just the dollars, but the time off, risks, and the possibility that your best outcome is obtained the first time if all the proper decisions are made. Consider another consultation or two with ABPS-certified plastic surgeons. Best wishes! Dr. Tholen