Is Dual Plane Technique a Better Choice for 620 Cc Extra High Prof. Implants Than Total Submuscular Placement?

Im 164 cm tall and I weigh 60 kg. I currently have 250 cc high profile silicon implants ( for 13 years) and Im getting them replaced with 620 extra high Silimed Brazilian implants for a larger,fuller,rounder breast. I currently have my implants placed fully under my muscles. My PS suggested to have the new larger implants placed partially under muscles. Will this dual plane technique really give me better,bigger results than the full submuscular placement?

Doctor Answers (4)

Difference Between Dual Plane and Submuscular Implants

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When the submuscular positioning of implants was described in the 1980's it was thought that total submuscular cover was needed.  At that time the implants were placed beneath both the pectoral muscle and the serratus anterior muscle.  One of the disadvantages of this approach is that it often left the implant too laterally placed.  It was discovered that if the implant was under the pectoral muscle on the upper portion and below the breast gland where the pectoral muscle ends, that the implants had a better position on the chest wall and still had the advantages of submuscular implants.  When surgeons use the term sub muscular, most are referring to a dual plane placwement.


Seattle Plastic Surgeon
5.0 out of 5 stars 94 reviews

Dual Plane Conversion For Larger Breast Implants

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On a practical basis, It is probably not possible to get 600cc breast implants in a completely submuscular location. But even if it were, that would not create a very natural look as the implants would simply be too highly located on your chest wall.. Total submuscular positioning may have worked for your original 250cc implants but it will be necessary to have a dual place location when the implant size is increasing by this volume percent.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.5 out of 5 stars 32 reviews

Total muscular coverage of a breast implant is not common

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We feel the idea of total muscular coverage, or the muscular 'bra' has come and gone. Most implants will be placed under the muscle for the upper half and under the gland for the lower roughly. The submuscular placement gives better coverage, yet the dual plane allows the implant to fit within the breast so that they move and feel as one.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 31 reviews

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"Dual Plane" Positioning of Breast Implants?

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Thank you for the question.

I think that you will find that most plastic surgeons today will use the “dual plane” positioning of breast implants. This simply means that the breast implants are partially under the pectoralis muscle and partially outside the “grip” of the pectoralis muscle. I think that this position allows for a more natural look/feel of the breast implants over the long term. I think also that there is less chance of significant “distortion” of the breasts  with movement of the pectoralis muscle with implants in this  position (as opposed to complete sub muscular breast implant positioning).

In comparison to the sub glandular breast implant position, the dual plane positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look  of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability  of the implants (which may increase with time, weight loss, and/or post-pregnancy changes).

The submuscular positioning  also tends to interfere with mammography less so than in the sub glandular position. The incidence of breast implant encapsulation (capsular  contraction)  is also decreased with implants placed in the sub muscular position.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 789 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.