Do I have a 'Double Bubble'?

I had a breast augmentation 3 years ago and from the beginning I've developed a dent on the cleavage area of my right breast. My surgeon said it would get better with time but it has only gotten worse.
Afterwards, I had a second augmentation because the first implants were too heavy, and the dent is still there.
I'm afraid I have a double bubble and he does't want to admit it.
How should I proceed in fixing this?

Answers from doctors (8)


More About Doctor Harry Glassman, M.D.

Published on Jan 21, 2019

If you do have a "double bubble", in which the implant pocket has an irregularity, the only permanent solution would be to have surgery to close the unwanted portion the pocket. The procedure is known as a capsulorrhaphy.

Answered by Harry Glassman, M.D. (View Profile)

If you do have a "double bubble", in which the implant pocket has an irregularity, the only permanent solution would be to have surgery to close the unwanted portion the pocket. The procedure is known as a capsulorrhaphy.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 07, 2016

Your surgeon should fix the crease area via a capsulorrhaphy, which is a repair of a tear or a surgical incision in a capsule.

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Answered by Barry J. Kaplan, D.O.

Your surgeon should fix the crease area via a capsulorrhaphy, which is a repair of a tear or a surgical incision in a capsule.

Published on Jul 11, 2012


Tania Medina De Garcia M.D.

Published on Mar 29, 2016

It is really hard to tell if you have a double bubble without a picture, so I recommend you talk clearly with your surgeon to see what is going on with your breasts. Good luck :)

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Answered by Tania Medina De Garcia M.D.

It is really hard to tell if you have a double bubble without a picture, so I recommend you talk clearly with your surgeon to see what is going on with your breasts. Good luck :)

Published on Jul 11, 2012


Sean Kelishadi, M.D.

Published on Mar 21, 2016

Hello, and sorry for your troubles. You should seek a second opinion with a board-certified plastic surgeon with expertise in aesthetic breast surgery. You may indeed have a double bubble, and there are different ways to fix it depending on your exam.

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Answered by Sean Kelishadi, M.D.

Hello, and sorry for your troubles. You should seek a second opinion with a board-certified plastic surgeon with expertise in aesthetic breast surgery. You may indeed have a double bubble, and there are different ways to fix it depending on your exam.

Published on Jul 11, 2012


David C. Yao MD, FACS

Published on Sep 09, 2015

There are different types of double bubbles. One type is caused by loose breast envelope tissue falling off the implant below. The other type is an implant slipping below the breast footprint on the chest. The correct treatment requires a complete examination and subsequent plan which may include implant size change, tissue lift and/or possible reinforcement.

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Answered by David C. Yao MD, FACS

There are different types of double bubbles. One type is caused by loose breast envelope tissue falling off the implant below. The other type is an implant slipping below the breast footprint on the chest. The correct treatment requires a complete examination and subsequent plan which may include implant size change, tissue lift and/or possible reinforcement.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Sep 09, 2015

Unfortunately, without seeing photos or performing an examination, it will be difficult for online consultants to give you accurate advice. I suggest meeting with a board certified plastic surgeon who has experience with revisionary surgery if you are wanting a 2nd opinion.

Answered by Tom Pousti, M.D. (View Profile)

Unfortunately, without seeing photos or performing an examination, it will be difficult for online consultants to give you accurate advice. I suggest meeting with a board certified plastic surgeon who has experience with revisionary surgery if you are wanting a 2nd opinion.

Published on Jul 11, 2012


Otto Placik, MD

Published on Sep 09, 2015

Double bubbles usually refers to a problem on the bottom of the breast where the implant diameter is too big or the natural crease has been disrupted or you have Insufficient tissue to cover the implant. It sounds as if you may have insufficient tissue to cove the implant in the cleavage area. This may require downsizing or using a smaller diameter implant. In some instances you can treat it with fat transfer

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Answered by Otto Placik, MD

Double bubbles usually refers to a problem on the bottom of the breast where the implant diameter is too big or the natural crease has been disrupted or you have Insufficient tissue to cover the implant. It sounds as if you may have insufficient tissue to cove the implant in the cleavage area. This may require downsizing or using a smaller diameter implant. In some instances you can treat it with fat transfer

Published on Jul 11, 2012


Remus Repta M.D.

Published on Sep 09, 2015

Various implant pocket issues can result in a "dent" or irregularity of the breast. Your plastic surgeon will have to evaluate and determine which of these sources could be the factor and then discuss with you the options of how to address it.

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Answered by Remus Repta M.D.

Various implant pocket issues can result in a "dent" or irregularity of the breast. Your plastic surgeon will have to evaluate and determine which of these sources could be the factor and then discuss with you the options of how to address it.

Published on Jul 11, 2012


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