I have an almost non-existent lower pole to my breasts and was recommended a dual plane augmentation instead of an augmentation paired with a lift. I am pleased with this response from my PS, but I am concerned about the dual plane approach in relation to the look I want to achieve (a much fuller lower pole), as well as the risk of complications with bottoming out ( a terrible fear of mine).
August 10, 2016
Answer: In a dual plane augmentation, what holds the implant up (bottoming out?), and how does it increase the size of the lower pole? The connective tissue along the inframammary fold holds the implant up no matter what technique is used. I don't completely understand from your description why you were told that you may need a lift. If you have a non-existent lower pole, I'm assuming that you don't have any sagging. If your nipple to fold distance is short and you have a well defined inframammary fold, I prefer to leave the fold at its current location and elevate the nipple. I find that trying to lower tight folds causes a double bubble most of the time. I understand that many doctors score and stretch the fold, but I frequently see patients for revision surgery that have a lower pole crease caused by trying to lower the fold.
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August 10, 2016
Answer: In a dual plane augmentation, what holds the implant up (bottoming out?), and how does it increase the size of the lower pole? The connective tissue along the inframammary fold holds the implant up no matter what technique is used. I don't completely understand from your description why you were told that you may need a lift. If you have a non-existent lower pole, I'm assuming that you don't have any sagging. If your nipple to fold distance is short and you have a well defined inframammary fold, I prefer to leave the fold at its current location and elevate the nipple. I find that trying to lower tight folds causes a double bubble most of the time. I understand that many doctors score and stretch the fold, but I frequently see patients for revision surgery that have a lower pole crease caused by trying to lower the fold.
Helpful 1 person found this helpful
March 4, 2016
Answer: In a dual plane augmentation, what holds the implant up (bottoming out?), and how does it increase the size of the lower pole? Thank you for your excellent questions and for doing your research. Dual plane augmentation is the standard procedure for most plastic surgeons in the US, with muscle covering the upper portion of the implant and the lower portion of the implant covered by your breast gland. There is a network of supporting tissue along the breast crease termed the inframammary fold that helps reduce the risk of bottoming out and is protected during the surgical dissection. The lower portion of the breast enlarges due to the redistribution of the implant volume once the implant "drops." This places pressure on the lower pole causing the skin to stretch. Hope this helps.
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March 4, 2016
Answer: In a dual plane augmentation, what holds the implant up (bottoming out?), and how does it increase the size of the lower pole? Thank you for your excellent questions and for doing your research. Dual plane augmentation is the standard procedure for most plastic surgeons in the US, with muscle covering the upper portion of the implant and the lower portion of the implant covered by your breast gland. There is a network of supporting tissue along the breast crease termed the inframammary fold that helps reduce the risk of bottoming out and is protected during the surgical dissection. The lower portion of the breast enlarges due to the redistribution of the implant volume once the implant "drops." This places pressure on the lower pole causing the skin to stretch. Hope this helps.
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