When you try to place an implant very low in order to make up for a low position of the areola or if an implant otherwise falls below the inframammary crease it can cause a breast contour deformity known as a double bubble.
This patient is one year status post correction of a double bubble deformity. The double bubble used to be right here. I’m going to show you what it used to look like on a picture and, as you can see, a double bubble happens when you try to place the implant very low in order to make up for a low position of the areola. So they try to line up the implant with the areola to create a normal looking breast and, therefore, it created this fold of the normal breast over the implant right here. It’s called a double bubble.
So, the solution is to try to lift the areola position a little bit and then also lift the implant. If you just lift the implant, the areola will be too low. On her we did a little bit of a periareolar lift and you can see a little bit of a scar in here – it’s very well disguised.