How can I avoid the double bubble breast deformity?

How can someone interested in silicone implants avoid the double bubble? I saw some pics with women having this deformity after the surgery, and now I can't get this out of my mind. Will it show right away or over time? It's kinda scary to think this can happen in 5 years too. I really appreciate any help you can provide.

justjoy

F, 31, Delaware

Double bubble breasts are a common cause of concern. A double bubble is an unappealing and unnatural-looking breast deformity characterized by a double breast crease or horizontal bulge under one or both breast mounds.

There are a few different causes for the double bubble effect. These include the breast implant bottoming out beneath the inframammary crease or an implant that is too large for the breast pocket. Other causes include the "memory" of an original crease within the skin, or an "animation deformity" in a submuscular implant.

In most cases, double bubbles are correctable with revision surgery. In some cases they can be corrected with sutures which raise the inframammary fold to a higher position. In other cases it may be necessary to replace the implants themselves -- usually swapping them out for ones that have a smaller diameter.

In the event of an animation deformity from a contracted pectoral muscle, the muscle will need to be re-attached to the chest wall.

A double bubble deformity is an avoidable result. An experienced plastic surgeon will advise you on which sizes of implants are right for your anatomy and will use the proper plastic surgery techniques to ensure an even, unbroken contour.

Patients often don't want to hear that their own anatomy won't easily accommodate a large implant. To avoid a double bubble, I advise you to consult with a board-certified plastic surgeon and take their advice regarding which implant sizes will likely be too large for your anatomy.

Dr. Kimberly Henry has 4 Breast augmentation before & afters:

Breast augmentation before image performed by Dr. Kimberly HenryBreast augmentation after image performed by Dr. Kimberly HenryBreast augmentation before image performed by Dr. Kimberly HenryBreast augmentation after image performed by Dr. Kimberly HenryBreast augmentation before image performed by Dr. Kimberly HenryBreast augmentation after image performed by Dr. Kimberly HenryBreast augmentation before image performed by Dr. Kimberly HenryBreast augmentation after image performed by Dr. Kimberly Henry

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Double bubble breasts are a common breast augmentation complication. In my experience, the best way to avoid this issue is to respect the limits of your anatomy when considering breast augmentation surgery. Unfortunately, many patients are determined to achieve a specific breast-size and will keep shopping for a plastic surgeon until they find one who acquiesces to their demands for a larger implant -- despite the potential risks.

A skilled plastic surgeon will take multiple anatomical measurements before recommending an appropriate range of implant choices they believe will look the most natural and pose the fewest risks.

Double bubble correction is possible by revision breast augmentation. In some cases we can add additional sutures to adjust the implant placement, and in other cases we may be able to use a fat transfer procedure to correct asymmetry. If drooping and sagging are an issue, a breast lift procedure may also be required.

Always remember to consult with an experienced board-certified plastic surgeon for best results.

Dr. Frederic Corbin has 1 Breast augmentation before & after:

Breast augmentation before image performed by Dr. Frederic CorbinBreast augmentation after image performed by Dr. Frederic Corbin

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 This is a real worry especially when a surgeon is trying to lower the crease below the breast or when a "Dual-plane" approach is performed. Let me explain the fist problem first. In certain breasts the lower 1/2 is very tight and in needs to be enhanced. Often the natural crease and the skin have a 'tight' memory that has to be addressed by the surgeon and might take several months to a year to get to the finished produc. Until then you may see a crease especially when arms are lifted.

In the "Dual -plane" case, there is an attempt to lift the breast when the position is low. The goal is to get under the breast and lift it up by placing the implant at the lowest most point of the breast. Imagine Atlas holding up the world. In those case if the infra-mammary  crease is not secured, the implant may continue downward and cause this, If these are not your problems then the likelihood of getting the double-bubble is uncommon. Hope this helps!

Dr. Manuel Pena has 3 Breast augmentation before & afters:

Breast augmentation before image performed by Dr. Manuel PenaBreast augmentation after image performed by Dr. Manuel PenaBreast augmentation before image performed by Dr. Manuel PenaBreast augmentation after image performed by Dr. Manuel PenaBreast augmentation before image performed by Dr. Manuel PenaBreast augmentation after image performed by Dr. Manuel Pena

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The double bubble is a dreaded complication to the patient and the surgeon. It can be avoided with good preoperative evaluation and the avoidance of excessively large implants. Surgeons use fixation sutures to minimize the chances of implant displacement.

Dr. Carlos Burnett has 8 Breast Augmentation before & afters:

Breast Augmentation before image performed by Dr. Carlos BurnettBreast Augmentation after image performed by Dr. Carlos BurnettBreast Augmentation before image performed by Dr. Carlos BurnettBreast Augmentation after image performed by Dr. Carlos BurnettBreast Augmentation before image performed by Dr. Carlos BurnettBreast Augmentation after image performed by Dr. Carlos BurnettBreast Augmentation before image performed by Dr. Carlos BurnettBreast Augmentation after image performed by Dr. Carlos Burnett

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