03 May Understanding and Correcting Double Bubble Deformity

Double bubble deformity is a contour irregularity that may develop following breast augmentation. It presents as a visible indentation or secondary fold across the lower breast, creating the appearance of two inframammary creases. While not medically harmful, it can significantly affect aesthetic outcomes and patient satisfaction.

This deformity typically arises when the natural breast fold and implant position do not align. If the implant settles below the original fold, or if tight lower pole tissues prevent smooth expansion, a secondary crease can form.

Patients with tuberous breast anatomy or constricted lower pole tissue are at higher risk. In such cases, the implant pushes against resistant tissue, creating the double contour effect.

Correction requires surgical fold modification. The original inframammary fold may be released or repositioned, allowing the implant to settle into a more natural alignment. Pocket adjustment ensures the implant occupies the intended anatomical space.

In some cases, implant exchange or fat grafting is incorporated to soften contour transitions.

At PHI Surgery in Montreal, Dr. Perry Gdalevitch approaches double bubble correction with structural precision — restoring smooth lower pole curvature.

Recovery parallels revision augmentation healing timelines.