What is the Dual-Plane technique?
In my practice, many of my patients fall into the category of patient with pseudoptosis as described above. I also have not placed a breast implant into a subglandular location (excluding revisions of other surgeon’s work) in about six years. How is this possible? The technique of dual-plane augmentation, originally described by John Tebbetts, M.D. This technique involves the creation of a pocket below the pectoralis major muscle in which the implant will be placed. A second, smaller pocket is created between the muscle and the above glandular tissue, usually up to about the level of the nipple or upper border of the areola (the pigmented skin around the nipple). Nothing is placed in this pocket, but the separation of tissues serves to separate the tighter muscle with the overlying stretched breast tissue to permit the implant to better fill out the lower pole of the breast, thus preventing the “double-bubble” deformity as described above. The dual plane technique adds an additional te
