What can be done about my obvious double bubble? (Photo)

Your doctor's suggestion that something can be done in the office after failing to correct the problem previously in the operating room should disqualify him from any further surgery for you. There are more competent doctors in your area.

Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. I have taken on difficult cases very similar to yours with excellent outcomes. You definitely would need a pocket revision-capsulorrhaphy/capsulotomy, implant exchange, and breast lift. The good news is you can have an excellent result. Best wishes to you.

Revisions are almost always more complicated the second time around. The double bubble groove is fairly close to the nipple-areola, which suggests to me that it isn't the original inframammary fold. Does it pull up when you contract your pectoral muscle? Often I see animation deformity presenting as double bubble, and these cases require a specific type of procedure with muscle re-attachment for correction.

Dear Nice657378,
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

YES in a few sessions of sub-cision release and fat grafting this can be greatly improved. Best to virtual consult with...Fees from $2,000 per session.