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projection in the lower pole. This is especially true in thin 3. Spear SL, Carter ME, Ganz JC. The correction of capsular contracture by
women, patients with constricted lower poles or excessive conversion to “dual-plane” positioning: technique and outcomes. Plast
skin envelopes. Conventional submuscular positioning Reconstr Surg 2003;112:456-66.
of implants in such patients can lead to a double-bubble 4. Khan UD. Muscle-splitting breast augmentation: a new pocket in a different
deformity. There have been no identifiable cases of this plane. Aesth Plast Surg 2007;31:553-8.
complication in our series. The biplane technique can be 5. Biggs TM, Yarish RS. Augmentation mammaplasty: a comparative analysis. Plast
Reconstr Surg 1990;85:368-72.
used in cases of grade I and II ptosis with satisfactory lower 6. Khan UD. Vertical scar mastopexy with cat’s tail extension for prevention
pole fill and projection. The senior author has not used this of skin redundancy: an experience with 17 consecutive cases following
technique in more severe cases of ptosis. mastopexy and mastopexy with breast augmentation. Aesthetic Plast Surg
2012;36:303-7.
In conclusion, our operative cases and early follow-up 7. Khan UD. Augmentation mastopexy in muscle-splitting biplane: outcome of
supports the use of this novel biplanar technique for breast first 44 consecutive cases of mastopexies in a new pocket. Aesth Plast Surg
augmentation. It optimizes the advantages of subglandular 2010;34:313-21.
and submuscular breast augmentation with simpler 8. Khan U D. Multiplane technique for simultaneous submuscular breast
dissection and less complications than other submuscular augmentation and internal glandulopexy using inframammary crease incision
techniques. It can be used in a wide variety of breast types in selected patients with early ptosis. Eur J Plast Surg 2010;34:337-43.
with predictable results. 9. Lang Stumpfle R, Figueras Pereira-Lima L, Alves Valiati A, da Silva Mazzini
G. Transaxillary muscle-Splitting breast augmentation: experience with 160
Cases. Aesth Plast Surg 2012;36:343-8.
Acknowledgements 10. Khan UD. Combining muscle-splitting biplane with multilayer capsulorraphy
Umar D. Khan for introducing the concept of the biplane for the correction of bottoming down following subglandular augmentation.
muscle-splitting technique. Eur J Plast Surg 2010;33:259-69.
11. Khan UD. Subglandular to Muscle Splitting Biplane Conversion for Revision
Financial support and sponsorship Augmentation Mammoplasty. In: Mugea TT, Schifmann MA, editors. Aesthetic
Nil. Surgery of the Breast. 1st ed. Berlin: Springer; 2015. p. 535-41.
12. Khan UD. Correction of acquired synmastia with of with muscle-splitting
Conflicts of interest biplane implant replacement. Aesth Plast Surg 2009;33:605-10.
There are no conflicts of interest. 13. Khan UD. Dynamic breasts: a common complication following partial
submuscular augmentation and its correction using muscle-splitting biplane
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1. Tebbetts JB. Dual plane breast augmentation: optimizing implant-soft-
tissue relationships in a wide range of breast types. Plast Reconstr Surg Aesth Plast Surg 2012;36:590-9.
2001;107:1255-72. 15. Khan UD. Muscle-splitting, subglandular and partial submuscular
2. Luan J, Mu D, Mu L. Transaxillary dual-plane augmentation mammaplasty: augmentation mammoplasties: a 12-year retrospective analysis of 2026
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20 Plast Aesthet Res || Vol 3 || Issue 1 || Jan 15, 2016