What is the “double-bubble” look?
There are two different shape abnormalities to which the term “double-bubble” is applied. Unfortunately there is some confusion because of the two conditions. Strictly defined, the “double-bubble” look is a particular deformity of shape in which the round part of the breast produced by the implant sits at the normal level for a young “perky” breast, but the breast itself and the nipple have sagged downward with time. Getting this “double-bubble” shape usually requires that all three of the following factors be present: • 1. The implants are under the muscle. • 2. There is capsular contracture. • 3. The breast itself has relaxed downward. Correction of this type of double-bubble look requires a breast lift or mastopexy in most cases. The other kind of shape sometimes referred to as “double-bubble” is also more common after under-the-muscle implants, but can be seen with both unders and overs. It occurs when the pre-operative crease is very sharp, indented or constricted, and produces a
