How to Avoid Double Bubble?

Although the common wisdom is that the double bubble contour is related to the original fold of the bottom of the breast creating a tight band when the fold has to be lowered, there is another contributing factor in my experience. This relates to the pectoral muscle being detached which is a routine part of the standard submuscular (dual-plane) technique.
Because the natural attachment of the muscle is higher that the fold, it has to be detached or the implant would sit too high and the breast would be too flat. But this free edge of muscle then ends in front of the breast right where the tight band appears that is characteristic of the double bubble. Contraction of the muscle pulls at that point. There is a way to avoid it using a split muscle technique. More info at the link below--

Thank you for your question.  A double bubble is completely avoidable.  It is important when considering any cosmetic surgical procedure that you consult only board-certified plastic surgeons who are well-experienced in performing the procedure you are electing to have.  A double bubble is commonly the result of placing too large of an implant, in too small of a breast.  When this is done (often because of surgeon inexperience and/or patient demands in sizes) the double bubble is created because you have the bubble of the larger implant and a smaller bubble resting on top, which is the boundary of the patients natural breast.  The best way to avoid getting a double bubble is having a thorough conversation with your surgeon about implant size and your anatomy pre-operatively.  I hope you find this helpful and best of luck!

Dual plane
breast augmentation is one of the many options available for patients
undergoing breast augmentation surgery.This procedure offers significant benefits for patients with specific
anatomic findings and aesthetic goals.It’s not unusual for plastic surgeons to encounter patients who have
breast hypoplasia associated with mild breast sag.These patients want larger breasts but don’t
want the scarring that’s frequently seen with breast lift surgery.Under these
circumstances, dual plane breast augmentation offers significant
advantages.This procedure creates a
pocket beneath the pectoralis muscle as well as a separation between muscle and
overlying breast tissue.This results in
the implants having muscle coverage superiorly and breast tissue covering the
implant inferiorly.This
configuration allows the breast tissue to cover the implants in a more natural
way.It avoids the need for a breast
lift and avoids a snoop dog or double-bubble deformity.In addition, the patient continues to have
the advantage of submuscular implant placement including a decreased risk of
capsular contracture.If you’re
considering breast augmentation and have mild breast sag you may be an
excellent candidate for this procedure.Under these circumstances, it’s important to discuss this issue with
your plastic surgeon.

Hello - You may want to consider a lift with your augmentation. The "double bubble" look may occur when the implants are placed and the breast tissue then falls over the implant creating excess skin at the lower portion of the breast. Therefore, lifting the breast tissue can help prevent this look. For the type of lift that you may need, consult with your plastic surgeon as there are several different types.

Recognizing which patients are more at risk to get a double bubble is the first step in the process.

There are maneuvers that can be carried out at the time of surgery to minimize the double crease (bubble) but depending on the patients anatomy, and the goals of the surgery, there may yet be some degree of the old fold remaining.

Double bubble has been used to refer to different conditions and therefore clarification is necessary. In one instance, it refers to a constricted breast sitting on a visible implant creating a "pyramid on a dome" look. In other situations, it has been used to describe a ptotic (sagging) breast over a high riding implant also called the "snoopy deformity). Depending on the condition different surgical approaches, implants or solutions may be used to minimmize, treat, or prevent the appearance