Richard V. Dowden, M.D., C.M., F.A.C.S.

Certified by the American Board of Plastic Surgery

Cosmetic and Plastic Surgery, Inc.
6770 Mayfield Road, Suite 410
(Mayfield Heights) Cleveland, Ohio 44124
(440) 449-7470

Answers to Frequently Asked Questions about
breast enlargement:

What is the "double-bubble" look?

There are two different shape abnormalities to which the term "double-bubble" is applied. Unfortunately there is some confusion because of the two conditions.

Strictly defined, the "double-bubble" look is a particular deformity of shape in which the round part of the breast produced by the implant sits at the normal level for a young "perky" breast, but the breast itself and the nipple have sagged downward with time. Getting this "double-bubble" shape usually requires that all three of the following factors be present:

  • 1. The implants are under the muscle.
  • 2. There is capsular contracture.
  • 3. The breast itself has relaxed downward.

    • Correction of this type of double-bubble look requires a breast lift or mastopexy in most cases.

    The other kind of shape sometimes referred to as "double-bubble" is also more common after under-the-muscle implants, but can be seen with both unders and overs. It occurs when the pre-operative crease is very sharp, indented or constricted, and produces a visible groove partway between the nipple and the new lower crease, separating a bulge above from a bulge below. Most often, this condition gradually clears up if the tissues at the groove stretch out adequately, but if not, operation may be appropriate.



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    6770 Mayfield Road, Suite 410
    (Mayfield Heights) Cleveland, Ohio 44124
    (440) 449-7470

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    Last Update: 7:23 PM on 06/01/2008
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