I was a 34A and got 533cc silicone implants. What Are my Options to Correct Double Bubble?

I'm sorry to hear about the complication you have experience.

The implant malposition ( bottoming out) can be corrected using a permanent suture technique (inferior pole capsulorraphy).  This procedure will reconstruct the lower breast implant capsule area and decrease the distance from the areola to inframammary fold. It will also help to hide the current inframammary fold score better.

I would suggest in person consultation with plastic surgeons who can demonstrate their success with similar procedures.

Best wishes.

While a double bubble can occur from lowering the bottom fold of the breast, it can also be related to animation problems from the way the muscle is cut for the usual submuscular placement (dual plane). If you notice pulling up where the fold is when you flex your pecs, then it is the muscle pulling there that is also causing the double bubble. In that case you would want to convert to either a split muscle or subfascial plane which could address both problems. A simple capsulorrhaphy is not always reliable regardless of what type of sutures are used.

I would speak with you physician re the option of a capsulorraphy to address the bootoming out of your implant on the one side.  This is typically a very standard procedure in such cases and usually addresses this going forward after the procedure