Why Don't All Surgeons Offer Dual Plane Placement of the Breast Implants?

Problem is most patients and surgeons don't really know what the term dual plane means. As I mentioned in another post , a pocket is created beneath the pectoralis muscle , the muscle covers the top part of the implant and the bottom half of the implant is covered by your breast. Then there is an additional plane of dissection above the muscle for several centimeters. Thus " dual plane ". 

This procedure has been described to be used in patients that have somewhat droopy breasts. The idea is that by dissecting in a plane above the muscle the implant will not be as restricted by the muscle and  be able to fill out the overlying loose breast tissue.  There are other ways besides dual plane to free the muscle in this subset of patients.

But as mentioned in several of the answers below to go in and ask if your surgeon does dual plane is silly. Just ask either above or below the muscle. Most real plastic surgeons will place the implants under the muscle, meaning the pectoralis muscle.

Because honestly is someone telling you they use dual plane going to be the deciding factor in choosing a surgeon. I hope not. The number one deciding factor should be what kind of work does the doctor do. Best thing you can do is go to a board certified plastic surgeon and see what there work looks like with photos.

Breast implant placement is a decision based on the anatomy of the patient, the type of implant chosen, and the biases of the surgeon.  "Dual plane" may sound like some procedure that has just emerged by it descibes only a very common type of augmentation.  Your surgeon should be able to perform all types of breast augmentation and have a good reason for recommending one over the other.

Hi there,
While I cannot speak for all of the surgeons who do not perform the dual plane procedure (I do), I would say that the most likely reasons any particular surgeon does not offer this technique are because they either:

Never learned the technique; and/or
They are experienced in an alternative which gives them the results they want for their patients (in other words, if there is no problem in their outcomes, they may not feel it necessary to learn a new procedure).

One of the beautiful things about plastic surgery is that any particular problem might be approached in multiple different ways, with equal success, depending on the details of the patient's anatomy and goals. I hope that helps.