Bottoming Out, Double Bubble, Lateral Slide, Waterfall: Ten Breast Revision Questions I Keep Getting Asked
November 01, 2026 | Ask Dr. Agullo, Breast, Breast Revision
The same five words come up in almost every breast revision consult: bottoming out, double bubble, lateral slide, waterfall, capsule. Here are ten questions I answered on RealSelf this year, questions paraphrased and de-identified, my answers lightly edited for the page, with the one rule that runs through all of them: fix the pocket, back it up with mesh, and do not trust tissue that has already stretched.
