here are several scenarios that can result in double bubble, including improper breast implant placement. Double bubble occurs most often in women with sagging breasts whose implants were placed under the chest (pectoral) muscles. (This placement is known as submuscular, and the implants are referred to as “unders.”) The breast tissue hangs low enough to look like one set of breasts. The implants look like another.
Also at high risk are women who have limited lower breast skin, or a short distance between the bottom of the areola (dark skin around the nipple) and the breast crease.
Another contributing factor for double bubble is breast augmentation capsular contracture. This occurs when scar tissue tightens around the implant, causing aesthetic and physical problems.
Double bubble can also occur when:
Implants are too big (heavy) for the chest wall and cause the supporting tissues to stretch, settle or migrate below the inframammary crease
Implants are poorly positioned by the surgeon
The mammary crease is constricted
The woman has tuberous breasts
Scarring is present from previous breast surgeries
Double bubble can develop at almost any time after breast augmentation surgery. If you develop this complication, consult with your surgeon. Remedies do exist.
