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Double Bubble Deformity

The double bubble deformity is formed by the breast implant being placed below the natural breast crease or inframammary fold. The result is a crease above the bottom edge of the breast implant, thus the double bubble deformity. This breast deformity can be seen in primary breast augmentation or breast lift with augmentation. This breast augmentation complication requires breast revision surgery. Once this complication has been established, it is not possible to move the breast implant upward above the crease without surgery. Early, during the first 2-4 weeks the crease has a possibility of stretching out and blending into the tissue that is above and below. Sometimes, when the surgeon notices an early double bubble at the time of surgery or soon thereafter, taping down below the crease may heal, or adhere, the implant to the desired position. The original breast implant can usually be reused in this breast revision surgery.

The correction of a double bubble deformity involves re-establishing the breast crease or inframammary fold. This is done with suture techniques to hold up the base of the breast implant in to the proper aesthetic position. The anchor technique with this surgical procedure is important for success.

The skill required to correct a double bubble deformity requires a seasoned plastic surgeon that has experience in dealing with complicated breast revision surgery.