Double Bubble


When implants are placed behind the pectoral muscle, rather than in front of it, women whose breasts have begun sagging naturally can experience a unique complication commonly referred to as double bubble. While the implant remains in place, breast tissue sags below it, creating the appearance of two separate breast creases.

How the double bubble effect can be avoided:

-Implant placement in front of the muscle fills out sagging skin and helps avoid this complication (although it can increase the occurrence of other aesthetic problems like the appearance of rippling)

-A breast lift in conjunction with sub-muscular implant placement can help prevent inconsistent sagging 

The Surgical Procedure
For correction of the “double-bubble” appearance, the procedure can take from 1 to 2 hours, depending on the complexity of the case. In order to correct this complication, revisionary surgery is necessary. Often times, if a patient requests for larger implants, the Doctor is required to lower the breast fold to avoid too much fullness on top. However, the original breast fold may be deep, forming a crease across the lower breast, causing the double-bubble. The crease may improve with time, as the implant settles. Board Certified Plastic Surgeon, Dr. Pousti takes his time in the operating room to make sure that he does what he can to achieve the patient’s results.

What To Expect After Surgery
Since the pectoral muscles have already been stretched and there is an existing pocket, there is very little pain or discomfort. Patients experience very minimal pain and there is less recovery time.

Resumption Of Physical Activities
Driving may be resumed in 1-2 weeks.
Non-contact sports in 3 weeks.
Contact sports in 6 weeks.

What we offer


Pousti Plastic Surgery
8851 Center Drive, Suite 300
San Diego, CA 91942
Phone: 619-466-8851
Fax: (619) 466-8858
Office Hours

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