A double bubble deformity can be distressing for breast augmentation patients, especially when it affects symmetry or confidence. The good news is that double bubble is highly correctable with the right revision approach. Board-certified plastic surgeon Dr. Bryson Richards provides breast revision to patients in Las Vegas, NV, and surrounding locations.
What Causes a Double Bubble?
A double bubble occurs when the implant sits in a different position than the natural breast fold (inframammary fold). This creates two stacked contours—a natural crease and a second crease caused by the implant.
Common causes include:
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Implant placed too high
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Implant dropping too low (bottoming out)
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Tight or strongly defined natural fold
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Wrong implant size or projection for the patient’s anatomy
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Capsular contracture pulling the implant upward
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Breast tissue changes due to pregnancy, aging, or weight fluctuations
Identifying the root cause determines the right surgical approach.
Revision Techniques to Correct Double Bubble
1. Repositioning the Implant
If the implant sits too high, Dr. Richards can lower the implant pocket so it aligns with the natural breast fold. If the implant has dropped too low, the pocket is tightened to restore proper placement.
2. Adjusting or Reconstructing the Inframammary Fold (IMF)
For patients with a strong natural fold that pushes the implant upward, the fold can be lowered in a controlled, precise way to create a smooth contour.
3. Capsulorrhaphy (Internal Pocket Tightening)
This technique tightens the implant pocket using internal sutures, providing better support and preventing excessive movement or bottoming out.
4. Changing the Implant Type or Size
If implant size contributed to the double bubble, switching to a more appropriate size or projection can create a more harmonious shape.
5. Treating Capsular Contracture (if present)
When capsular contracture is the underlying issue causing the implant to ride up, Dr. Richards may perform:
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Partial or total capsulectomy
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Implant replacement
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Pocket conversion (e.g., switching from subglandular to submuscular placement)
What Results Can Patients Expect?
After revision surgery, patients typically see:
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A smoother, natural lower breast contour
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Better implant position and symmetry
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Improved cleavage and projection
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Softer, more natural breast movement
Swelling decreases significantly in the first few weeks, with final results developing over several months as tissues settle.
Preventing Recurrent Double Bubble
To reduce recurrence risk, Dr. Richards focuses on:
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Proper implant selection
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Precise control of the breast fold
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Ensuring correct implant pocket size and support
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Addressing tissue quality and skin elasticity
Postoperative support garments and careful activity restrictions also play an important role in long-term success.
Expert Breast Revision in Las Vegas
Double bubble deformity can be upsetting—but with the right revision technique, beautiful results are absolutely achievable. Dr. Richards combines surgical skill with extensive experience in breast revision to help patients restore a natural, elegant breast shape.
If you’ve noticed changes in your breast contour or suspect a double bubble deformity, schedule a consultation with Richards Cosmetic Surgery to explore your revision options.
Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation
If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070
Taking new patients from Las Vegas, Bullhead City, Laughlin, Pahrump, Mesquite NV and surrounding areas.