Objectives: Review the techniques, advantages and disadvantages of the sub pectoral, subfascial, and sub glandular planes for breast augmentation

Introduction: Current approaches to breast augmentation are diverse and controversial. A long-standing topic of discussion is whether to place a breast implant in the subglandular, subfascial or subpectoral position. Each of these planes has advantages and disadvantages; however the plane of implant placement can affect other outcomes such as capsular contracture, animation deformity, rippling and wrinkling, as well as malposition.

Materials / method: Selection of the ideal location is often based on patient and breast characteristics but interestingly has geographic variability from a global perspective. Decision-making often depends on the size of the natural breast, degree of physical activity, and an appreciation of patient expectations.

Results: In general, the subpectoral position is recommended in patients with a thin body habitus and an upper pole pinch test < 2 cm, whereas the subglandular or subfascial plane can be considered in patients when the upper pole pinch thickness is > 2 cm. With all options, breast enhancement is readily achieved, adverse events are infrequent, and patient satisfaction is high.

Conclusion: This presentation will review many of the salient aspects of subglandular, subfascial and subpectoral breast augmentation with an emphasis on technique and outcomes.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
Yes
Please specify entities (individual, company, society): sebbin

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work is presented thanks to the support of: sebbin

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability