I have decided to have a breast augmentation and had 3 consults. 2 of the doctors suggest dual plane and 1 subfascial. I'm undecided which one is best for me. I am a golfer and heard with submuscular placement it is possible to see the implant move back and forth with movement. So if this is true would it be better to do subfascial placement? I am 55 and have dense breast tissue. I am small chested maybe a A+ B- with no sag. Also, what is submuscular versus dual plane? Thanks for your advice.
Answer: Dual plane breast augmentation versus subfascial placement? Thank you for your questions. Although there are several nuances to this question, I am going to try to boil down the basics to hopefully make things easier to understand. First, for the sake of discussion, lets just say that while "dual plane" is a technical term, it is essentially the same as a submuscular augmentation, so those terms are interchangeable. The term "subfascial" is a fancy sounding word that in my opinion is just a way to "rebrand" a subglandular augmentation. So we are really talking about two options here, submuscular or subglandular. So let me try to break it down for you:Subglandular:(+): shorter procedure, less pain/recovery, no animation deformity(-): higher risk of implant visibility, palpability, rippling, capsular contractureSubmuscular:(+): Less capsular contracture risk, less implant visibility, better upper pole transition in small/thin patients(-): More discomfort/recovery, animation deformityThis is obviously an oversimplified list, but what you need to decide is which is most important to you and go over that with your surgeon. For most of my patients, the short term benefits of subglandular implants do not outweigh the long term benefits of submuscular placement. Make sure you are seeing a plastic surgeon who is board certified by the American Board of Plastic Surgery who is spending enough time with you to go over all these things and come up with a customized approach for you that meets your goals rather than plugging you into some formula they use for everyone. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
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Answer: Dual plane breast augmentation versus subfascial placement? Thank you for your questions. Although there are several nuances to this question, I am going to try to boil down the basics to hopefully make things easier to understand. First, for the sake of discussion, lets just say that while "dual plane" is a technical term, it is essentially the same as a submuscular augmentation, so those terms are interchangeable. The term "subfascial" is a fancy sounding word that in my opinion is just a way to "rebrand" a subglandular augmentation. So we are really talking about two options here, submuscular or subglandular. So let me try to break it down for you:Subglandular:(+): shorter procedure, less pain/recovery, no animation deformity(-): higher risk of implant visibility, palpability, rippling, capsular contractureSubmuscular:(+): Less capsular contracture risk, less implant visibility, better upper pole transition in small/thin patients(-): More discomfort/recovery, animation deformityThis is obviously an oversimplified list, but what you need to decide is which is most important to you and go over that with your surgeon. For most of my patients, the short term benefits of subglandular implants do not outweigh the long term benefits of submuscular placement. Make sure you are seeing a plastic surgeon who is board certified by the American Board of Plastic Surgery who is spending enough time with you to go over all these things and come up with a customized approach for you that meets your goals rather than plugging you into some formula they use for everyone. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
Helpful 2 people found this helpful
Answer: Dual plane vs subfascial These approaches address 2 unique problems in breast augmentation: breast ptosis and animation deformity. Subfascial eliminates animation deformity while dual plane does not. Dual plane is used to augment mildly ptotic breasts but maintaining the benefits of a submuscular augmentation.
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Answer: Dual plane vs subfascial These approaches address 2 unique problems in breast augmentation: breast ptosis and animation deformity. Subfascial eliminates animation deformity while dual plane does not. Dual plane is used to augment mildly ptotic breasts but maintaining the benefits of a submuscular augmentation.
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February 18, 2019
Answer: Implant placement Dear Nicole6345,
Helpful 1 person found this helpful
February 18, 2019
Answer: Implant placement Dear Nicole6345,
Helpful 1 person found this helpful
February 5, 2019
Answer: Dual plane breast augmentation versus subfascial placement? hello thank you for your question and provided inforamtion as well;..based in your question its difficulted evaulate your case if the question dont have a picture, its recommended to get a consultation in personal with a plastic surgeon.
Helpful 1 person found this helpful
February 5, 2019
Answer: Dual plane breast augmentation versus subfascial placement? hello thank you for your question and provided inforamtion as well;..based in your question its difficulted evaulate your case if the question dont have a picture, its recommended to get a consultation in personal with a plastic surgeon.
Helpful 1 person found this helpful
February 5, 2019
Answer: Dual plane breast augmentation versus subfascial placement? Thank you for the question. I think that is in most patients (including athletes) best interest to have breast implants placed in the sub muscular (dual plane) position.Semantics can be confusing. When surgeons talk about placing breast implants "behind the muscle", they are usually referring to "partial" or "dual plane" positioning. In other words, all of these terms refer to the same sub muscular (as opposed to sub glandular positioning) positioning of breast implants.
Helpful 1 person found this helpful
February 5, 2019
Answer: Dual plane breast augmentation versus subfascial placement? Thank you for the question. I think that is in most patients (including athletes) best interest to have breast implants placed in the sub muscular (dual plane) position.Semantics can be confusing. When surgeons talk about placing breast implants "behind the muscle", they are usually referring to "partial" or "dual plane" positioning. In other words, all of these terms refer to the same sub muscular (as opposed to sub glandular positioning) positioning of breast implants.
Helpful 1 person found this helpful
February 5, 2019
Answer: Dual plane breast augmentation versus subfascial placement? Thank you for sharing your excellent question. Due to your small frame and limited chest tissue it would be best to increase coverage of the implant with placement beneath the muscle. This also trends towards fewer complications. Hope this helps.
Helpful 1 person found this helpful
February 5, 2019
Answer: Dual plane breast augmentation versus subfascial placement? Thank you for sharing your excellent question. Due to your small frame and limited chest tissue it would be best to increase coverage of the implant with placement beneath the muscle. This also trends towards fewer complications. Hope this helps.
Helpful 1 person found this helpful
