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.
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