Thank you for the question.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.On the other hand, because the implants are not completely sub muscular there is the potential for less “distortion” of the breast implants with pectoralis movement. Generally, in my opinion, the breasts also look better with breast implants in this position.I hope this, and the attached link, helps.
Placing implants partially below the pectoralis muscle seems to offer the best advantages for the most people. This is called a dual plane position.Risks of capsular contracture are lower, there is more tissue coverage over the implant in the upper portion of the breast ( which can help give a more natural apperance), it preserves more blood supply to the overlying skin and nipple, and allows for a more predictable position of the bottom of the breast ( infra mammary fold) and a more predictable position of the implant.