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Area of Science:

  • Plastic Surgery
  • Anatomy
  • Breast Augmentation

Background:

  • The double-bubble deformity is a known complication of breast augmentation.
  • Limited literature exists focusing exclusively on this deformity.

Observation:

  • A systematic review of prior publications on inframammary fold anatomy and its relation to the double-bubble deformity was conducted.
  • Disagreements regarding the precise anatomical structure of the inframammary fold were addressed.
  • The causes and surgical correction of the double-bubble deformity were discussed in relation to fold anatomy.

Findings:

  • Appreciation of inframammary fold anatomy is crucial for understanding and correcting the double-bubble deformity.
  • Correction strategies depend on whether patients have pre-existing anatomical features that predispose them to the deformity.

Implications:

  • Various surgical strategies, including dual-plane pockets, form-stable implants, capsulorrhaphy, pocket plane conversion, and acellular dermal matrices, can aid in preventing and treating the double-bubble deformity.