Dual-Plane vs. Sub-Fascial Breast Augmentation (Updated 2023)

Woman in a bra looking down

At Scottsdale Center for Plastic Surgery, breast augmentation is one of the most popular procedures I perform. I believe that it is important to be able to offer all options for breast augmentation, whether it is from a dual-plane or a subfascial approach. Beautiful and natural results can be achieved by placing the implants either above or below the muscle, depending on your anatomy, lifestyle, and aesthetic goals. 

During your consultation, your surgeon will work to understand your goals and together will create an optimal surgical plan which will give you the results you are looking for.  You will be educated on the various implant options, reinforcement materials, as well as the latest technical considerations, all of which will be used to give you the best aesthetic results possible.

To help you understand the difference between dual-plane breast augmentation and sub-fascial breast augmentation, here is a brief overview of these two popular breast implant placement procedures:

What Is Dual-Plane Breast Augmentation?

Dual-plane breast augmentations are a common procedure performed by all plastic surgeons. During this procedure, the pectoralis muscle is cut, lifted, and an implant is inserted under the muscle.

What Is Sub-Fascial Breast Augmentation? 

With sub-fascial breast augmentations, the muscle remains untouched and uncut. Essentially, the fascia – which is the overlying soft tissue of the pectoralis muscle – is gently lifted over the muscle to create a space between the fascia and the muscle. An implant is then inserted between the muscle and the fascia.

During the procedure, I use a piece of resorbable mesh to strengthen the pocket where the breast implant will sit. This mesh is positioned above the chest muscle and acts as an “internal bra.” This provides several benefits: keeping the implant in place, reducing the chances of it moving or “bottoming out,” and reducing the appearance of any rippling on the implant’s surface.

What Are the Benefits of Sub-Fascial Placement? 

Sub-fascial breast augmentation is advantageous because it offers little to no downtime, minimal postoperative pain, no chest exercise restrictions postoperatively, as well as no hyperanimation deformities.  Patients who undergo sub-fascial over dual-plane breast augmentation typically recover in half the time. This procedure is great for all women, especially those who work out and enjoy an active lifestyle. Learn more about sub-fascial breast augmentation, the “internal bra” technique and its benefits, and whether you’re a good candidate in this related blog post.

Very few plastic surgeons offer sub-fascial breast augmentations. I am an international authority on sub-fascial breast augmentation, revision and reconstruction.

Click to see Dr. Sigalove’s before and after gallery.

Request a Consultation

Please call (480) 423-1973 or request a consultation with Dr. Sigalove or Dr. Cohen to learn more about sub-fascial breast augmentation.

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