10 months post op and have a double bubble on right breast. Solutions? (photos)

Generally a double bubble deformity occurs when your implant descends lower than the previous breast 'fold' or IMF and the pre-existing fold is still visible (the higher of the two curved lines on the affected breast).
This can happen for a variety of different reasons. The best treatment option will partly be influenced by the position of the fold or IMF on the other breast, because achieving or maintaining symmetry with correction of a double bubble deformity is an important consideration.

It may be possible to do a capsulorrhaphy, very slight along the lower pole to push the implant up and eliminate the double bubble without affecting your nipple position significantly. An in person exam will help determine if this would be a viable solution that would not involve an implant exchange or other more costly options.

Double bubble can be caused by different things. A common one is where the inframammary fold has to be lowered, or the implant drops below the fold. The other is when the cut muscle adheres to the capsule where it places upward traction. In this case there would also be animation, meaning the crease moves up when you flex your pec. This is more likely to be the case when the crease is closer to the nipple than the inframammary fold, as in your case. If so, it requires re-attachment of the muscle with conversion from dual plane to the split muscle plane or subfascial. Muscle release will make it worse.

Dear Energetic40707,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for some posted photos, but need frontal view and before photos also. I usually "fix" "double bubble" deformities via 3 methods. 1. Re operation via infra mammary approach to release/cur the tight pectoralis muscle to breasts tissue junction. Fee $4,000. 2. Liposuction of 500 cc fat to fat transfer micro/macro fat to release indented skin. Fee $4,000. 3. Combination of #1 & #2. Fee $7,000. Best to virtual consult with....