Double bubble breast implant deformity is a rare yet significant complication that can occur after breast augmentation surgery. This condition, characterized by an indentation or bulge beneath the breast, gives the appearance of two separate folds or "bubbles" on the lower part of the breast. It is essential for women considering breast implants to be aware of this potential issue and understand how it can be addressed.
Causes of Double Bubble Deformity
Double bubble deformity can result from two primary types:
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Incorrect Implant Position (Type 1): In this case, the breast implant migrates below the natural inframammary crease, creating a second, false crease lower on the chest. Factors contributing to this include a weak inframammary crease, constricted breasts (tubular breast deformity), overly large implants, or surgical technique issues, such as releasing the crease too much.
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Sagging Tissue (Type 2): With this type, the native breast tissue sags over the implant rather than the implant being in the incorrect position. This can be due to natural aging, pregnancy, weight fluctuations, or breast ptosis (sagging) that wasn't adequately addressed during the initial augmentation.
Symptoms and Diagnosis
The main sign of a double bubble is the presence of two creases beneath the breast with a second bulge between them. Identifying whether it's a Type 1 or Type 2 double bubble usually requires a consultation with an experienced plastic surgeon.
Treatment Options
Correcting a double bubble typically necessitates revision surgery. The chosen procedure depends on the type of double bubble and the underlying cause:
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Type 1 Double Bubble: Capsulorrhaphy, or capsular repair, can be performed to tighten the scar tissue and elevate the implant to its proper position. Sometimes, reinforcement with the patient's own capsule tissue or synthetic mesh may be needed. Reducing the implant size might also be required if the issue is due to oversized implants or a short distance from the nipple to the breast crease.
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Type 2 Double Bubble: A breast lift, such as a vertical (lollipop) or mini lift, may be sufficient to address the excess skin and restore the breast's natural appearance. If capsular contracture is the cause, a capsulectomy to remove scar tissue might be necessary.
Prevention and Risk Reduction
Choosing a skilled, board-certified plastic surgeon with experience in breast augmentation and revisions is crucial for minimizing the risk of double bubble deformity. Discussing aesthetic goals, pre-existing anatomical conditions (e.g., sagging breasts or a weak inframammary crease), and appropriate implant size is vital. In some cases, combining augmentation with a breast lift may be advisable.
Cost and Recovery
The cost of double bubble correction surgery varies depending on the complexity, the type of revision, and whether both breasts need treatment. It can range from $5,500 to $14,000, including surgeon's fees, anesthesia, operating room expenses, and postoperative care. As with any revision surgery, there are potential risks, such as recurrence of the double bubble, and recovery time may differ from the initial augmentation., while double bubble breast implant deformity is an uncommon complication, it is essential for women considering breast augmentation to be aware of the possibility and understand the potential risks and treatment options. Consulting with an experienced surgeon and carefully considering the factors that contribute to this condition can help minimize the likelihood of developing a double bubble and ensure a more satisfactory outcome.
