The Inverted Dual Plane Mastoplasty Technique

Aesthetic breast augmentation is usually performed in a retromammary plane (behind the breast parenchyma), when breast parenchyma is enough to cover the implant or in case of active sport patients, or in a retropectoral plane (behind pectoralis muscle and serratus) in all other cases. In some cases, where mammary gland is mostly located on the lower pole, the implant can be partially placed behind the pectoralis major muscle and partially behind the breast parenchyma (partial retropectoral). The dual plane inverted technique consists, such as in the classical dual plane method, in positioning the prosthesis partially under the pectoralis major muscle and partially under the mammary gland. The difference, compared to the classical method, consists in covering the implant using the lower third of the pectoralis major muscle, thus leaving the implant to be covered by the mammary gland on the upper two thirds, so creating a kind of lifting of the breast, obtaining a mastopexy effect. The technique is described.