Double bubble can occur
with women who have some ptosis or sagging to their breast and might need
a slight lift, and the patient decides against it. Double bubble can also
occur with a sharply defined or constricted inframammary fold under the breast.
When implants are placed behind
the pectoralis muscle (sub-muscular) - rather than
sub-glandular (overs) - women whose breasts
have started to naturally sag can experience double bubble. The implant is
held in place behind the muscle and the breast tissue hangs below it creating
the appearance to two separate breast creases.
This complication can occur when
the inframammary fold is lowered during breast augmentation surgery as well.
The old fold may still place a crease on the lower breast - creating a "double
bubble" contour. Most mild double-bubble can resolve on their own with
time (as the implant drops into place), but may need additional surgery to
Patient with Double Bubble Deformity
Double bubble deformity is very
common with the following incision placements:
Surgery with switching your implant placement from sub-muscular to
Double bubble is normally seen within a few days
or weeks following the initial augmentation or can occur over a period of time
as breast tissue continues to sag or show ptosis (such as from aging or
pregnancy). The important thing to remember is this deformity can be