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 23
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!
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.
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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.
Dual Plane Lift
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.
Dual Plane pocket for Breast Augmentation
Dual plane breast augmentation is my procedure of choice. It is really a submuscular plane superiorly and suglandular laterally. The benefits are less capsular contracture and rippling. The cons are that it is more painful and probably has a slightly higher chance of hematoma. Most women get a dual plane breast augmentation.
Leo Lapuerta MD
Triple Board Certified Plastic Surgeon
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.
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