5 months post breast augmentation, 365 cc silicone implants - could this be double bubble? (photos)

Hello, thank you for your question. Double bubble occurs when your implants drops below the infra- mammary fold and your natural breast tissue is no longer sitting in the center of the implant. I would discuss further with you plastic surgeon about options. In the meantime make sure to wear supportive bra.

Judging by the photos, you’ve posted, it does appear that you have a slight double bubble. The double bubble is likely a result of you not having a lot of breast tissue and your surgeon having to lower your fold to accommodate the size of the implant that you have. One option would be to perform fat transfer to that area to help fill-in the deformity so it’s less noticeable. Other option is a bit more invasive and it would involve going into the pocket performing capsulorraphy to raise the fold. In that case, you still may need some fat transfer to your breast to help camouflage the step off.

Hope that helps

Dear Reserved519332,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs. Unfortunately it appears that both implants have settled too low on your chest, i.e. have bottomed out, and will need another surgery in order to attempt correction. Hope this helps.

From your photos it appears your implants are bottoming out. This can be corrected via surgery. Sometimes surgeons will recommend smaller implants, using mesh, or both to prevent future occurence. Your surgeon will be able to advise you further after an evaluation. I've included a video on mesh I hope you find helpful.

You have some bottoming out from the weight of the implant. This can be fixed. I would wear a good supporting bra during the day at all times.

365 cc ımplants are good choıse for you. but because of weıght your breast sag a lıttle bıt. need to change the place of ımplants and change to Allergan B-lite model. b-lite %50 lighter than others.

This appears to be a double-bubble deformity based on the appearance. This is a known complication as related to breast augmentation and may be due to surgical technique or implant descent leading to the characteristic appearance of two parallel curvilinear creases running across the lower pole of the breast.
Individuals may be morphologically pre disposed to a double bubble deformity. Those at risk may include those whom have a short nipple to fold distance, those whom have a constricted or tight lower pole to there breast, congenital anatomic condition namely tuberous breast deformity or sub-pectoral implant placement.
Correction of a double bubble deformity must take into account the etiology of this deformity. If the patient has had a sub-pectoral implant and has adequate soft tissue coverage then converting the implant to a "virgin" pocket from the sub-pectoral to the submammary space may be indicated. Those whom have inadequate soft tissue coverage as determined on clinical examination by pinch thickness may be converted to a dual plane or neosubpectoral pocket. Further reinforcing and reconstructing the anatomic inframammary fold with a mesh of sorts (acellular dermal matrix, galaflex, durasorb mesh) may be indicated to help restore the position of the anatomic fold. Finally a discussion surrounding implant volume and size may need to be reviewed to help prevent this deformity from recurring.
A double-bubble deformity is correctable in most cases. Treatment of a double bubble deformity as evidenced by these photos consists primarily of repositioning of the implant and reinforcing the anatomic fold with possible use of an adjunctive matrix.