1 week post op. Will my double bubble resolve itself? (Photos)

Question

I am one week post op now and both my breasts have a slight double bubble effect. Can people please advise if this will resolve? I have attached before photos also.

Anthony Barabas, MBBS, FRCS (Plast) · Answer

From the look of your pre-op photos you were on the verge of needing a lift and implants, and I suspect you had quite tight skin around your breast crease (possibly even a constricted lower pole). However a lift involves much more scarring, and I think you and your surgeon have made the right decision in opting for implants only as it has resulted in a nice shape. However your surgeon has needed to drop the breast crease in order for the nipples to remain centered over the implant, and for the implant not to ride too high which could then give a waterfall/snoopy-nose deformity. I don't consider this to be a true double-bubble deformity, as the implants have not dropped by one week, but are where your surgeon placed them. The indentation is your old breast crease. With time this should stretch out and become less visible, but sometime as small indentation does remain. However I think this is preferable to the scarring that would have been required with a breast lift.

Brian K. Reedy, MD · Answer

Thank you for your question and congratulations on your recent procedure! You are still very early in the healing process and should expect several changes within the next several weeks. Your breasts are not full heeled and settled in their final placement until around the 3 month mark of healing. Good luck and congratulations again!

Christian Subbio, MD · Answer

Whether or not this will improve with time really depends mostly upon whether or not your surgeon released the underlying attachments of that fold at the time of surgery.  If one is going to lower a breast fold, it is important to treat that underlying tissue to make sure that the weight of the implant will stretch out that area over the ensuing months.  Only your surgeon knows the full details of the procedure.  Keep in close contact with him or her and wear a supportive bra to prevent implant descent. Best of luck!
Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Gerald Minniti, MD, FACS · Answer

Hello,
Contrary to other respondents on this post, this will not resolve, and it will likely get more prominent as your tissues relax and the implants drop further under your native inframammary fold. Your native fold is not merely 'a tight band', but instead represents a transition from chest tissue to breast tissue, a substantial change in tissue thickness.  The two recommendations to 'tape up' or 'strap up' or wear an underwire bra will not overcome the forces of this implant pushing the fold off of your chest. But if it did, your nipples would be looking downward, the problem this surgeon may have encountered if he placed them in their proper position initially during your surgery. This all happened because your surgeon thought he could get away with large implants to avoid performing a breast lift, something you should have gotten. Instead, he just opened up the pockets too low (something surgeons call 'lowering the fold', but in many cases like yours just separate the fold from its natural attachments on your chest), to try to get the implant under your sagging breast tissue and nipples. If your doctor isn't an ABPS certified/ASAPS member surgeon who is a revision breast specialist, you should visit a few who are. Best of luck!

Michael Dobryansky, MD, FACS · Answer

Ask your surgeon if your right inframammary fold was lowered. It appears that it was. Sometimes you see the double bubble in cases like yours. The implant will continue to descend over approximately three months. Nothing to do now, but you may need a revision in the future if this doesn't resolve. You should follow up with your surgeon and follow their recommendations. Good luck!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  In order to accomodate your implant your surgeon lowered your original breast crease and this is contributing to the double bubble effect you see.  With time this should stretch out and resolve but only time will tell.  Hang in there and allow your results more time to mature.

Frank Agullo, MD · Answer

It is far too soon to evaluate your results. You should wait at least six months before jumping to any conclusions. More than likely your double deformity will resolve itself. #StayBeautiful @RealDrWorldWide

G. Robert Meger, MD · Answer

Newboobs:  The crease you see is actually a retained infra mammary fold, or IMF, and it's caused by lowering the crease during surgery to accept the proper position to keep the implant centered beneath the nipple.  It may take up to a year but typically will resolve.  Try to be patient and keep in contact with your Plastic Surgeon to develop a plan to address this if it is still present in one year.Best of luck to you!G. Robert Meger MD

S. Alexander Earle, MD, FACS · Answer

Your pre-op photos indicate a certain degree of a tuberous breast deformity.  This typically has a constricted lower pole and an infra-mammary fold that is too high.  Your surgeon had to lower the infra-mammary fold.  That is what creates that crease.  You need more time to allow the implants to settle and for the skin to stretch out in that area.  Give it time, have patience, and follow-up with your plastic surgeon on a regular basis.

William Andrade, MD · Answer

Hello, it can take months for implants to settle, and sometimes contour irregularities like his will improve.  Based on the limited preop photo it looks like the fold might have required more lowering on the side with the fold. It's important to have ongoing followup and dialogue with your surgeon.

1 week post op. Will my double bubble resolve itself? (Photos)

Answers (16)

More Breast Augmentation Questions

How tight is the compression bra supposed to be? (Photos)

Is it necessary to book multiple consultations for a breast augmentation?

Do I have tubular breasts, flatchestedness or both? (Photo)

Is red and hot to the touch skin after breast augmentation bad? I'm 1 week post op. (photo)

Worried breasts sit too far apart (photos) - very little cleavage and laying down they sit apart. 2 years post BA. (photos)

Post Breast Augmentation, my side bruising is getting darker down the belly, and pinching pain in just one breast? (Photo)

WE SEND PRETTY
EMAILS