The so called "double bubble" appearance is usually caused by the implant sitting lower than the natural breast tissue. Proper planning and surgical technique typically can avoid this issue. At this early stage of your recovery, this condition might improve by wearing a proper underwire bra. See your surgeon for an in-person evaluation and advice.

Published on Jul 11, 2012

Your breast is stuck to the chest, at a level that we call the fold. A true double bubble occurs when the implant slides below the fold of the breast. Sometimes the implant can be moved up using an underwire bra to support the breasts. Most of the time, however, surgery is required to fix a double bubble. Listen to your surgeon and follow their instructions to the letter in order to maximize your chance of success. Good Luck

Published on Jul 11, 2012

Unfortunately, the armpit incision does not allow good, if any, visualization and the chances of mispositioning, different problems like you are experiencing. I don't think it will "disappear," but ask your surgeon.

Published on Jul 11, 2012

I wrote a paper about this in a scientific plastic surgery journal, the Aesthetic Surgery Journal. If you can support the tissue while it is forming a scar, you can raise the implant slightly to get rid of the double bubble. If the scar is already set, then you probably will need a revision of the surgery or live with it. Frequently, I have patients that I have successfully treated where you don't need surgery if done within the first six weeks.

Published on Jul 11, 2012

Double bubbles don't reduce over time, they may worsen depending on the cause. If neither the patient nor the surgeon knows the cause, then neither knows how to prevent it from worsening, nor how to keep it from happening next time. If the implant is malpositioned, it needs to be surgical corrected.

Published on Jul 11, 2012

Without seeing photos its not possible to give you a precise answer. However, after 7 days, its still too early to know what your final shape will be. You need to wait 4 to 6 months to truly assess them. With photos I could give you a guess, but in any case, you should wait until they have dropped and your skin and muscle have stretched. Best of luck.

Published on Jul 11, 2012

If you are only seven days post op, then you have a long way to go for a final result - usually about three months. I would just follow your surgeon's instructions and be patient. At the three month mark is when you will really know. With the transaxillary approach, there is a much higher one year complication rate compared to a breast crease approach or nipple areola approach. Implant malposition is one of them. If you need a revision to alter the pocket internally to eliminate the double bubble, you may need a new breast crease incision since it is much more difficult to try and work through the transaxillary approach. That is why most plastic surgeons will not do the transaxillary approach anymore.

Published on Jul 11, 2012

A double bubble caused by a tight breast fold with a smaller sized implant may remain with time. Sometimes what is needed is for the muscle to be released from the gland a little and for the fold to be sutured up higher to where it was originally or closer to where it was. Doing so will require an incision in the breast fold since this cannot be accomplished by going through the the armpit.

Published on Jul 11, 2012