Tuberous breast double bubble. Will it improve or do I need more surgery? 4 months post op, 175cc (Photo)

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

It appears as though the problem won't correct on its own.  A revision will most likely include release of the lower portion of the breast to help alleviate the double bubble.

Thank you for the question and pictures. Unfortunately, given that you are already 4 months out of surgery, it is unlikely that the breasts will change very significantly over the course of the next several months. Of course, it will do no harm to wait a few months before making a final evaluation, but in my opinion, it is likely that you will benefit from revisionary breast surgery. This operation will likely involve manipulation of the lower pole breast implant capsules (for example, radial capsulotomy incisions) and/or breast tissue excision below each areola.  You may find the attached link, dedicated to revisionary breast surgery concerns, helpful to you. Best wishes.