Can I ask my surgeon to reinforce the pocket to prevent double bubble and the implants moving to the armpits?

- During a breast augmentation consultation I personally discuss with my patients everything about the technical aspects of the procedure, potential complications, and the recovery process.
- "Double bubble" and implants migrating laterally towards the armpits are rare complications that every experienced plastic surgeon takes care to avoid automatically with each breast augmentation case.
- Therefore, you shouldn't have to request that the above mentioned complications don't occur. ;)
- As far as sizing for implants is concerned, we have all of our breast augmentation patients do sizing in our office at least twice to pick the right implant. This involves trying on actual silicone implants in a bra.
- Best of luck to you!

Thank you for your question. The consultation is the process where you get to know your prospective surgeon and the surgeon gets to know you. This is the time to ask your questions. The surgeon should be able to answer these based on your conversation and physical evaluation. He/she should have a plan based on your desires and anatomical constraints, should be able to determine if you need pocket reinforcement or not. Double bubble and implants moving into the armpits are technical issues which happen with over dissection of the pocket and or inadequate muscle release. Breast augmentation surgery involves meticulous dissection of the pocket, no bleeding at all, no drains, choice of the appropriate implant, fixing the inframammary fold, etc. Good luck with your consultation.