Can the dual-plane technique be used with Sientra textured round implants?

The Dual Plane is a pocket partially under the muscle which helps the breast shape over a breast implant. This was originally designed for textured anatomic implants, but can be applied to accommodate textured or smooth round implants. Texturing in breast implants can help with scarring around the implant. It is necessary when using anatomic implants because it helps hold them in place. Texturing on a round implant under the muscle may hold the implant in a higher position if the pocket is not created accurately. 

Great question!  A dual plane breast augmentation is essentially the standard
that most surgeons use today. When a surgeon talks about going under the
muscle, they are generally referring to dual plane, which means that the upper
middle portion of the implant is covered by the pectoralis muscle,
while the lower and outer part of the implant is covered by breast tissue
without muscle coverage.There are different types of dual plane techniques, which
allow for releasing
the muscle from the overlying breast tissue to allow
for more expansion of the lower breast when this is needed for tuberous breasts
or mild drooping. What type of implant is used in conjunction with a dual plane
is somewhat irrelevant. Any type of implant whether textured or smooth, saline
or silicone, anatomical or round can be used during a dual plane procedure. In
general, I recommend using textured implants with a dual plane technique to
maximize soft tissue coverage and shape of the breast while minimizing the risk
of capsular contracture and implant migration.

Thank you for the question.Yes, all types of breast implants can be placed in the dual plane position. Dual plane breast augmentation refers to the technique where breast implants are placed under the muscle superiorly and in the sub glandular  position inferiorly.  I think this is the best way to go for most patients. On the one hand, patients benefit from the sub muscular position  with increased tissue coverage of the breast implant, less chance of encapsulation, less potential for rippling/palpability of the implants and less interference with mammography. I hope this helps.