My boobs look good straight on but appear to have a double bubble when I raise my arms. Can this be fixed? (Photo)

Double bubble such as your pictures show may be due to lowering the fold, adherence of the cut muscle with dual plane, or both. It is also possible that the implants are too wide. If the crease pulls up when you flex your pecs, then repair will not be successful unless the muscle is re-attached behind the implant. This can be done by conversion to the split muscle or subfascial.

Good morning,
You do have some bottoming out and lateral displacement with double bubbles- and I'm sure they fall further off to the side when you lay down. This is commonly seen in overdissection of the pockets during surgery. I correct bottoming out and lateral displacement and double bubbles with the Original Internal Bra, my strong permanent internal suturing technique. I first developed this technique over 20 years ago, and today it is the most common revision procedure I perform, at least 5-6 times a week- it works and it lasts!

Unfortunately, you have not provided pre-operative photographs. However, it appears you had small breasts that were widely separated. At the time of surgery, the surgeon placed large implants to increase your volume. However, they had to center the implants underneath the nipple-areola complex which requires release of the inframammary fold. When the inframammary fold is released, the breasts can fall inferior and laterally, as you can see in your photographs. You will need smaller implants and plication of the pockets. I recommend doing this through a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, smaller implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Dear JessicaNG,
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

Your implants are probably too heavy for your tissue and have sagged. The inferior pockets can be tightened, but you may need to go smaller to have less weight on the repair.