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

Question

I am interested in Sientra round textured implants for my upcoming surgery. Can they be used with a dual-plane method? It looks as though many doctors allow this, but one or two have strong opinions against it. What does the research say?

Andrew P. Trussler, MD · Answer

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.

Robert Cohen, MD · Answer

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.

Richard Baxter, MD · Answer

I consider 4 options for implant placement: submuscular (which is dual plane because only part of the implant is covered by the muscle), split muscle (which I do most of the time because it gives upper pole coverage without the animation problems associated with dual plane), subfascial (which adds a little bit of support but not much coverage), and subglandular (which I rarely do because subfascial is better.) Sientra implants can be used with any of these, depending on individual circumstances.

York Jay Yates, MD · Answer

The dual plane technique has to do with the creation of the implant pocket, not the implant chosen.  I do this procedure frequently and a textured round Sientra implant is the one I use most commonly.  I think there must be some miscommunication regarding other physicians strong opinions against it.

Christopher J. Morea, MD · Answer

The dual plane technique can be performed with any type of implant.  I would be interested to know what the concerns are from other plastic surgeons.  Schedule a few different consultations with board certified plastic surgeons who have performed thousands of breast surgeries and make an informed decision before scheduling surgery.Best of luck,

Robert M. Lowen, MD · Answer

Any implant can be used. A dual plane augmentation is just dissecting between the muscle and the gland for a few centimeters to get some lift from the implant against the bottom inner aspect of the breast. The muscle shifts up when you do this and more of the fill is now under the gland and not so much under the muscle. It makes no difference what implant is used.

Joe Gryskiewicz, MD, FACS · Answer

Hi Hyprmir,Yes of course the textured round Sientra implants can be used for the Dual Plane internal breast lift augmentation.  See the web reference below if you want to see some illustrations.  Be sure to see a surgeon who is very experienced not only in the dual plane, but also in the use of Sientra textured implants.  Just pick the surgeon who does the most of the Sientra. These implants will stay where they are placed, and will not move around.  So you need an experienced surgeon in Sientra. Also Sientra is the only implant company who has a warrantee (C3
Program) if you develop a capsule after receiving their textured implants for primary augmentation.  They
have a special process which makes the texture.  This implant shell
is unavailable elsewhere.  Good luck with your surgery.  "Dr Joe"

Scott C. Sattler, MD, FACS · Answer

I use a dual-plane placement for all breast augmentation patients - this technique is especially important for patient with tight lower breast tissues - in order to maximize contact between implant and breast, the dual plane technique is especially helpful.

Larry S. Nichter, MD, MS, FACS · Answer

Sientra Implants, smooth or textured can be placed submuscular, dual plane or subglandular. What is most important is the decision which placement is best for you. That depends on your exam, wishes, and combined judgement and experience of your plastic surgeon. Look for the best.

J. Jason Wendel, MD, FACS · Answer

Thank you for your
question.Yes, the dual plane technique can be used for Sientra textured round breast implants.

To be sure, see
two or more board-certified plastic surgeons in your area for a full and
complete evaluation to make sure you are a good candidate and that it is safe
for you to have surgery.

I hope this helps.

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

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