What are the benefits of the dual plane technique? Is it less painful than the other procedures? Does it cause less bleeding, capsule constractor? Faster recovery?
Benefits of Dual Plane Breast Augmentation
Doctor Answers 22
Dual plane dissection is the key to natural results
I used to use dual plane dissections only on patients with breast ptosis, or droop, but now I do it on every one of my augmentations. In my opinion, this allows the most accuracy of implant placement and the best shaping of the inferior part of the breast. While the differences between the dual plane and a strict submuscular technique are very subtle, they are very real, and I believe the results are consistently better with a dual plane. Essentially the main difference between the two is that with a dual plane dissection, effort is made to elevate the bottom portion of the breast tissue off of the pectoralis muscle up to the level of the nipple or areolar border. This accomplishes many things. First, it gives great visibility to the borders of the pectoralis muscle so that maximum muscle coverage can be achieved over the implant preventing "window shading" of the muscle over the implant and extreme distortion of the breast with muscle contraction. It prevents over-dissection of the pocket, thereby making implant placement more accurate. It also allows the implant to fill the bottom contour of the breast and produce a fuller, more balanced shape. It adds a little bit of time to the procedure, in my hands maybe 10 minutes for both sides, but it is well worth the extra effort. In the short term this results in a more natural shape of the breast, and in the long term it helps prevent the double bubble, or "Snoopy breast, " deformity that occurs when the breast tissue relaxes independent of the implant, and it droops or sags over the implant which retains its position under the muscle. These are the main reasons why I believe that a dual plane dissection is superior. The breast is not a submuscular organ, but a dual plane dissection at least allows all of the benefits of a submuscular implant placement while still achieving the advantages of lower pole shape that sub glandular, or above muscle, placement allows. Hope this helps, good luck.
Dual plane breast augmentation
Dual plane breast augmentation means the top half of the implant is under the muscle while the bottom half lies directly under your breast tissue. Most surgeons use a dual plane technique as opposed to a sub-glandular approach (on top of the muscle). Whether or not there is less bleeding or less pain is mostly related to who your surgeon is. A gentle pinpoint electrocautery dissection (as opposed to traditional blunt dissection) usually results in a relatively pain-free quick recovery. My average patient can have the surgery on a Friday and be back to work by Monday or Tuesday (depending upon the type of work of course!). Dual plane augmentation is reported to have less capsular contracture than sub glandular augmentation. Hope this helps!
Dual Plane Breast Implants
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Dual Plane Breast Augmentation
The term “dual plane” is used to describe an operation when the implant is placed beneath the pectoralis major muscle superiorly but lies directly under the breast tissue inferiorly. This technique requires dissection in both planes and is best for thin patients with moderate amounts of ptosis (i.e. drooping of the breasts) that would be difficult to correct with subpectoral or subglandular implant placement alone.
What are the benefits of dual plane brest augmentation?
Dual plane dissection is a technique for patients who either require or want a submuscular position for their implant but have enough "droop" the the breat tissue that might look strange after a pure submuscular technique. The dual plane can allow the breast tissue to ride up relative to the implant so that it doesn't look like the tissue is "hanging off the implant. It preserves the benefits of the submuscular position such as lower visibility of the implant and less capsular contracture without having to add the scars of a "breast lift" It doesn't hurt any more than a standard submuscular technique.
Dual plane breast augmentation- a nice combination of techniques
Dual plane breast augmentation is a nice combination of submuscular breast augmentation (where the implant is placed below the pectoralis muscle) and the subglandular technique. Submuscular augmentation allows for better coverage of the upper half of the breast implant. It is particularly beneficial in patients who do not start out with a lot of breast tissue of their own. It is also associated with lower rates of capsular contracture or scarring around the breast implant. Overall, a subpectoral breast augmentation is somewhat more painful, as the muscle must stretch to accommodate the implant. Nevertheless, patients usually recover very quickly from both techniques. (I once had a patient bake me cookies on the first day after a dual plane breast augmentation!) The "dual" plane part of the phrase refers to releasing the glandular breast tissue from off of the pectoralis muscle in a submuscular augmentation. This allows the breast tissue to fall more naturally over the implant.
Benefits of dual plane breast augmentation
Performed properly a dual plane breast augmentation should not have any more or less bleeding than a conventional augmentation. The recovery is the same as is the incidence of capsule contracture.
Dual Plane Lift
Dual Plane Breast Augmentation
I feel virtually all submuscular breast augmentations are in fact dual plane. The pectoralis muscle is only going to cover 65% of the implant or less and the rest of the area ort the dual plane. No, it does not hurt more or less and the risk of complications is not different. This is basicall a simple sub muscular placement to which has been added a new name. Go for it. It is generally called sub muscular and it works better tham the sub glandular. Less contractures. Good Luck.
Sual plane's good for the super thin but there's issues for the rest
As discussed, a "dual plane" describes a partial submucular implant placement. It is a good choice for very thin women to camoflage an implant, but introduces it's own set issues. It is performed more frequently in the rest of the world then the United States due to a generation of American surgeons cutting their teeth on saline implants which perform poorly in the subglandular position. Whilie intitially thought to decrease capsular contracture, there are a number of series of modern implants (manufactered in the early 1990's on) that suggest the difference was more to do with the older implant then with the technique used. Many (most?) women with any substancial amount of breast tissue prior to augmentation in the dual plane will eventually need a mastopexy as their tissue slides off the implant (aka the "snoopy deformity"), while women with a paucity of tissue tend to maintain a better looking result.
FWIW, a number of the most senior and experienced surgeons in the world describe how they do less and less dual plane augmentations as the trade offs (more pain, snoopy deformity, implant animating, etc...) in terms of superior breast implant coverage are not worth it in their opinion
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.