Bi-plane breast augmentation: a case series supporting its use and benefits

Aim: Breast augmentation has traditionally been performed in either the subglandular or submuscular plane. Dual plane augmentation has been described before and captures the advantages of both of these techniques but reduces the trade-offs. The biplane muscle splitting technique adopts the similar advantages seen with the dual plane method without the need for extensive costal muscle fibre release at the infra-mammary fold.Methods: Thirty-five patients underwent bilateral breast augmentation using the biplanar technique from November 2007 to December 2008. All operations were performed by the senior author and followed up prospectively.Results: Follow up ranged from 9 months to 21 months. All of the patients achieved precise and reliable implant placement with no revisions or patient dissatisfaction. There have been no cases of implant misplacement/migration; synmastia, dynamic breast deformity, capsular contracture or infections. A single case of unilateral haematoma occurred early in the series.Conclusion: Our operative cases and early follow-up supports the use of this novel biplanar technique for breast augmentation. It optimizes the advantages of subglandular and submuscular breast augmentation with simpler dissection and less complications than other submuscular techniques. It can be used in a wide variety of breast types with predictable results