Double-bubble is a term used to describe a deformity where there is a crease across the lower part of the augmented breast or the breast tissue appears to be “falling off” of the implant. In either situation, it creates an unattractive breast with two distinct breast mounds, thus the term “double-bubble.”
Double-bubble often occurs as a result of the previous inframammary fold indenting the lower pole of the breast following breast augmentation. It is common in patients with constricted (tight) lower breasts, those with very sharply defined natural breast creases, and those with a short nipple to inframammary fold distance. In these cases, the deformity can become obvious if the breast implant extends below the natural breast fold.
Another common cause of double-bubble is when the breast implant remains in a high or even normal position, but the breast tissue and nipple sags downward. This can be seen in patients with sub-pectoral implants or capsular contracture that holds the implant up but allows the breast tissue to descend. This can occur immediately after surgery or over time as a result of pregnancy, weight change, or gravity.
The treatment of double-bubble depends on the cause and the severity of the deformity. While some mild cases may improve without surgery, many will require surgical correction. In cases where the previous inframammary fold indents the lower breast, surgery is often performed to revise the breast pocket and to score (cut) the breast fold. Some cases benefit from changing from sub-pectoral to sub-glandular implant position or by changing implant size. In cases where the breast tissue is hanging off of the breast implant, a breast lift (mastopexy) may be required. If capsular contracture is responsible for the deformity, a capsulectomy and breast implant exchange may correct the problem.
As with many breast deformity cases, double-bubble correction is a challenging yet extremely rewarding type of revision breast surgery performed frequently by Dr. Ciaravino.
Before and after photographs are an excellent way to see Dr. Ciaravino's work and gain a better understanding of the procedures.
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Dr. Ciaravino and his patients have appeared in many top beauty and fitness magazines, and have been featured in television shows such as MTV.
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The physician took the time to understand what I wanted out of the surgery and he is very knowledgeable and professional. The Staff is kind and supportive and the office is clean and comfortable. My overall experience was wonderful and I will highly recommend ya’ll to everyone! The doctor took the time to listen to what I wanted from the procedure and worked with me to find the perfect size. The doctor explained why the size would be perfect based on my chest cavity and it was perfectly correct!
The staff and Dr. Ciaravino are very friendly and knowledgeable. They made me feel very comfortable before and after my procedure. Everyone in the office is very friendly and professional. I did not have to wait very long and answered all of my questions. Dr. Ciaravino’s expertise and advise was greatly appreciated and very happy with the results!
Dr Michael Ciaravino is a Magnificent Surgeon!! Honest, knowledgeable, caring with excellent bedside manners. I have been his patient for several years and I will never go to another doctor. I am so happy with my recent Breast Augmentation! My recovery has been easy, and I feel great ! Thanks to Dr. Ciaravino and his Amazing Team who made my experience be a terrific one ! I can’t say enough good things about the amazing Ciaravino Girls ! Thank you beautiful ladies for being there for me.
I was extremely nervous about scheduling Breast Augmentation/Liposuction surgery without visiting the facility due to me living abroad. Upon my arrival to Texas, I was able to visit the office for a consult/pre-op. The moment I walked in I was greeted by the receptionist and amazed by the chic yet calming decor. This was very much needed since I walked in with butterflies in my stomach. The nurse/patient coordinator was very attentive and assured me of the smooth process. She was definitely right. Dr.Caravino is amazing he was able to give me a very natural yet sexy look. I’m so very thankful and planning another visit soon. Thanks again to Dr. Caravino for giving me my pre-mom body back and thank you to his staff for being just as amazing.
Very professional staff. The doctor made every visit comforting and he’s clearly great at what he does. Love the end results, 2 days after the procedure I was feeling great! No pain, no bruising, everything was awesome!
EVERYTHING! The look, the ease of transitioning back to “normal”, the care….EVERYTHING! The doctor and staff are AMAZING! He and his staff were very attentive to my questions and needs and always made me feel at ease. I have already referred three people to him!
Dr Ciaravino and his staff exceeded my expectations. I have several of my friends whose gone to him for augmentations and recommended him. I couldn’t be more pleased!! From the scheduling over the phone for the consultation to the post-op appointment, choosing this practice is by far the best decision I made for myself. I can’t express how highly I will recommend to anyone looking for a change, I actually already have passed on his information to a couple ladies. The results are more than I imagined and I only had my surgery Nov 15, 2017 (2 weeks ago). I never had to take any of my pain medicine which as my first surgery ever I didn’t expect it to be so perfect! Thank you again to you Dr Ciaravino and his lovely beautiful staff for making me feel comfortable before and after. Look forward to seeing you guys in 3 months.
Information was explained clear and concise. I felt prepared in every aspect on what to expect and how to handle myself during the recovery process. The recovery went as explained and I had minimal discomfort. I am loving my results, the whole process was wonderful!
The accessibility of the staff after my procedure to answer questions I had was phenomenal. The results are amazing, I couldn’t be happier! The staff and Dr. C are all very knowledgable and very helpful. Dr. C did a fantastic job with my procedure and I am excited to see the final results once I am completely healed.
The staff was very friendly and helpful through the entire process. My results are exactly what I wanted and asked for as far as size and shape with a more natural look.
Doctor Ciaravino gave me exactly what I wanted. I love the way my breasts look. His assistants were very knowledgeable, helpful and extremely nice! I love the way my breasts look. I wanted natural and that’s what Doctor Ciaravino gave me.
Dr C’s office and staff are first class. Always kind, helpful and considerate. Each time I go in, it feels like going to see friends! I had abdominoplasty and breast augmentation. I love my body! Could not ask for better results!
From the first consultation to my last post-op app I have been so happy with everything. Dr Ciaravino and his staff have always made me feel super comfortable. I will be going back for any cosmetic procedures I need in the future!
Friendly staff and environment. Dr. Ciaravino was very thorough about explaining the risks and possible complications of the surgery and how to prevent them. Other than what I had researched about him prior to my consultation, I knew he’d be the perfect doctor to perform my surgery because of his bedside manner skills! Down to earth and doesn’t make you feel like a number. He addresses your concerns and took the time to explain my questions.
Everyone from the CSM to the nurse who has been on staff for 8 years. Everyone made my husband and I feel very welcomed and comfortable. Didn’t feel pressured and the staff was very informative!
Nadia helped explain every single thing I would need to know in such detail, I felt that I knew exactly what I was getting into. She is so sweet and kind I was nervous and she helped calm my nerves and make me feel right at home. By the time the surgeon entered the room, I had most of my questions answered so I felt fully ready and excited. Nadia is the BEST.
Dr. C, you and your staff are great!! You all made the whole process practically painless. I am very impressed with the results…You are so professional and at the same time so compassionate and caring, another happy patient!!
I cannot say enough wonderful things about every single person I encountered at this office. You are all thorough, kind, conscientious, and beautiful inside and out!
I have always been a bit apprehensive about having breast augmentation. Although I wanted one, I had a fear that they would turn out too big and look unnatural. Dr. Ciaravino listened to my concerns and truly did a beautiful job. He is truly an artist with his ability and truly did a beautiful job.
Just wanted to let y’all know that I think that Dr. Ciaravino is by far the most talented doc around. I had my surgery on Monday and haven’t had a pain killer since Tuesday morning. Not even a Tylenol. There was no bruising or swelling at all. I am just amazed at how simple and painless the whole thing was. I attribute this to Dr. Ciaravino’s talent and gentleness.
