Double Bubble: An Anatomic Analysis and Management Algorithm

Double-bubble deformity is an uncommon complication after breast augmentation, manifesting as an abnormal crease running across the lower pole to create the appearance of a breast mound on top of a breast mound. Some breasts are predisposed to this phenomenon, such as those with tuberous breast deformity or constricted base width. More commonly, technical malfeasance is the culprit with overdissection of the IMF and concomitant incomplete release of superficial IMF fibers. This chapter discusses the etiology, anatomic considerations, best practices for prevention, and various treatment methods of double-bubble deformity.