Double Bubble or Implant Displacement?

Surgeon says it's not double bubble. Could this be implant displacement as my surgeon says? Surgeon says its not double bubble due to not sagging before surgery. So he will be doing an open capsulectomy with implant exchange. Does this seem right? I was a small 34 B and had 375 cc's put in. He says the implants are not too big.

Doctor Answers 4

Double Bubble or Implant Displacement

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A "Double Bubble" or “Snoopy” breast develop as a result of the weight of the implant; commonly when a breast lift is not included with a breast augmentation. 

During breast implant surgery a #pocket is created carefully to maintain certain folds on the sides and bottom of the breast. Occasionally, the space for the breast implant becomes too large on the #side of the chest or the tissue stretches and the implants fall too much to the side. This is most easily seen when the patient is lying on her back. At times, the implants can move towards the patient’s armpit which is better known as lateral #displacement.

It is best to consult with your Plastic Surgeon with an in-person exam, to better confirm if either or both, are actually your case.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Double Bubble or Implant Displacement?

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From your picture it appears as if you have a mildly constricted breast with a high crease, and correction would require a combination of elevation of the crease, a smaller implant and release of the tissue .

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Double bubble or implant displacement

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It is difficult to say if you have a double bubble or just implant displacement inferiorly without examining you.  

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

How to tell double bubble vs implant displacement

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The double bubble deformity, as you probably know, is where there is a groove across the lower portion of the breast between the nipple and the fold at the bottom. Implant displacement would be if the implant has pushed below where the fold should be, also called bottoming out. It can be confusing because in some cases the fold is too high to start with, meaning that there is a very short distance between the bottom edge of the breast and the nipple, and so it must be lowered intentionally in order to get the implant properly positioned. This can create a double bubble because the original fold is now across the bottom of the breast.

So if the implant sits too low, it is displacement. If the bottom of the breast is where it should be but there is a groove across the breast, it is a double bubble. One thing that I have found is that it is often related to animation deformities, which you can tell if the breast appears to pull up where the groove is when the pec is flexed. If that is the case, it will not be fixable with a capsulectomy.

Info here:

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

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.