How to Avoid Double Bubble?

The main way to avoid the Double Bubble is to stay within the confines of your own anatomy.  When a surgeon chooses breast implants, they take multiple measurements of your anatomy--one of which is the distance from your natural breast fold to the nipple under stretch.  This distance defines a range of implants that will look natural after surgery (ie: the nipple is in the center of the breast volume.)  If for some reason you really want MORE volume, your surgeon might offer to lower your breast fold.  If the breast fold has too much memory, it will not stretch out, and you will be left with the Double Bubble.  If you had agreed to an implant size that your breast was "willing" to accept, you would have natural appearing breasts (possibly smaller than you initially desired.)  Discuss these issues with your surgeon, and come up with a plan that has a risk profile that you are willing to accept.  Personally, I only recommend moving breast folds slightly for symmetry reasons, and do not offer implant sizes that might risk the Double Bubble.

Dr.B

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.