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Double Bubble
Double bubble (DB) is an
abnormal breast condition
which can be caused by several distinct reasons. DB is characterized by a multi-tiered appearance to the breast, typically below the
nipple
/areola
complex. DB is a correctable condition, but in order to repair the problem, it is crucial to understand exactly what is causing the deformity to exist.

Causes of Double Bubble
DB is a condition which can be caused by several anatomical or surgical issues. The most common causes of DB include:* Implants in a patient with a constricted
inframammary crease
or
tuberous breast
condition. This condition should have been corrected prior to or during
breast augmentation
surgery.
* Submuscular
or high
subpectoral
implant placement in a woman with uncorrected moderate to severe
breast ptosis.
An integrated
mastopexy
would have prevented the condition from occurring. * Gradual normal ptosis of the natural breast tissue off highly placed (usually submuscular) breast implants can create DB after several years. * Stretching of the natural inframammary crease and subsequent implant migration under the crease will create a lower bulge from the implant and an upper bulge from organic breast tissue. This is most common in
inframammary augmentations,
especially when the natural crease was revised to accommodate large implants.
* Capsular contracture
can create a DB condition.
Treatment of Double Bubble
Proper DB treatment depends greatly on the cause of the condition. Many instances can simply be prevented, most commonly in women with existing breast issues which need to be corrected prior to
breast enlargement surgery.
Fixing ptosis or inframammary fold issues before placing implants will solve these problems before they occur. Post-augmentation conditions can usually be resolved by changing
implant placement
and/or performing a mastopexy on the organic breast tissue. Women with significant DB conditions might require inframammary fold revision and repair to support the sinking
breast implant.
Contracture based DB should be corrected as per any normal capsular contracture condition.
Recommendation on Double Implant Bubble
DB is a strange looking deformity which can make affected women very self conscious about their
breasts.
Breast enlargement is supposed to improve breast aesthetics, but in the case of DB development, the exact opposite effect is enacted. Correction of DB is very possible and might be easier than you think. Many surgeons specialize in reparative techniques which will produce the beautiful breasts you long for. To learn more about fixing a DB condition, talk to a qualified
cosmetic surgeon
near you. Share your own breast improvement story at our Breast Plastic Surgery Interactive Forum
Double Bubble to Breast Enlargement, Breast Lift & Breast Implants
12/2/07 Revised 3/13/08

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