Double Bubble Breast Implants
Usually the solution for a double bubble in regards to breast implants is a breast lift or re-placement of the breast implants to subglandular or above the muscle.
Implant Size Revision | Capsular Contracture | Symmastia
Bottoming Out | Ruptured Implant | Double Bubble
Double bubble is the term used for a patient who has undergone breast implant surgery and the results are larger breasts that have a second bump (bubble) at the inframammary fold (breast crease). This is usually caused by breast ptosis (sagging breasts). Sagging breasts require a 
mastopexy (breast lift) to surgically repair the breasts. A breast lift with breast augmentation surgery performed all at once has very positive results for patients who need both.
Double bubble complications normally occur when the implant is placed below the pectoral muscle (submuscular) and may happen after several years of gradual stretching of the inframammary crease. This oftentimes is the case with implants that are placed through an incision at the inframammary fold. This creates truama to the natural crease creating a lower bulge and an upper bulge from the breast tissue.
Surgery to Repair Double Bubble Breast Implants
Most well trained and experienced plastic surgeons will be able to determine that a patient will be at risk for double bubble before the surgery. In this case the surgeon will usually suggest a breast lift to correct the sagging and an augmentation. The breast implant can also be placed subglandular to eliminate more risk.
Sometimes there are factors that increase the risk post operatively such as: pregnancy, breast feeding, weight loss and aging. In these situations the appropriate repair is either a breast lift to correct the sagging breast tissue, larger implants, changing the placement of the implants, or possibly an inframammary fold revision.
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> Implant Volume / Size Revision
Patients with saline implants who aren't happy with the volume or size of their breasts can elect to have revision surgery to add or remove saline from their implants. Silicone patients would have to purchase a new silicone implant in the desired size.
> Capsular Contracture
This is the most common complication for breast implant patients. A capsule is the fibrous tissue that grows around the breast implant (as with any foreign object placed in the body).
> Symmastia
The breasts appear too close at the center and the implants can appear to be touching each other. Symmastia (aka - uniboob, breadloafing) occurs only when an implant is placed under the muscle (submuscular) and the pectoralis muscle is severed from the sternum.
> Bottoming Out
Breast implants that have bottomed out can have nipples that appear too high or an inframammary fold that appears unnaturally low.
> Ruptured Implants
Decreased breast size, uneven breasts, pain or swelling can indicate a ruptured breast implant (saline or silicone breast implants). Most ruptures are covered by the implant manufacturer, although surgical costs for replacing the damaged implant are still incurred.
> Double Bubble
When tissue hangs beneath an implant which has been placed submuscular, this is referred to as a double bubble or high-riding implant. This usually occurs with an individual who has sagging breasts before their breast augmentation surgery.
