Double bubble: An anatomic analysis and management algorithm

Megan Fracol, John Y.S. Kim*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter


Double-bubble deformity is an uncommon complication after breast augmentation, manifesting as an abnormal crease running across the lower pole to create the appearance of a breast mound on top of a breast mound. Some breasts are predisposed to this phenomenon, such as those with tuberous breast deformity or constricted base width. More commonly, technical malfeasance is the culprit with overdissection of the IMF and concomitant incomplete release of superficial IMF fibers. This chapter discusses the etiology, anatomic considerations, best practices for prevention, and various treatment methods of double-bubble deformity.

Original languageEnglish (US)
Title of host publicationManaging Common and Uncommon Complications of Aesthetic Breast Surgery
PublisherSpringer International Publishing
Number of pages11
ISBN (Electronic)9783030571214
ISBN (Print)9783030571207
StatePublished - Apr 14 2021


  • Bottoming out
  • Constricted breast
  • Double-bubble breast
  • Double-bubble deformity
  • Implant malposition
  • Inframammary fold
  • Inframammary ligament
  • Tuberous breast

ASJC Scopus subject areas

  • General Medicine


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