{"title":"Subfascial Mini-Muscle Release Dual-Plane Technique: A Modified Procedure for Breast Augmentation.","authors":"Zenan Xia, Jiangmiao Xie, Wenchao Zhang, Xiaojun Wang, Yongjian Zheng, Ang Zeng","doi":"10.1097/PRS.0000000000011284","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Each breast augmentation technique has advantages and indications, and the quest for the perfect implant pocket plane is ongoing. An ideal dual plane should meet 3 requirements: adequate implant coverage, optimal control of breast shape, and maximal muscle preservation. The authors report a modified procedure for breast augmentation: the subfascial mini-muscle release dual-plane technique.</p><p><strong>Methods: </strong>From an inframammary or periareolar approach, the implant pocket is dissected in a subfascial plane up to the pectoralis major muscle. The muscle is split 3 cm above the lateral margin, and then pocket dissection proceeds in the submuscular plane. A small portion of the costal origin is divided inferomedially to create a dual plane.</p><p><strong>Results: </strong>This study included a total of 178 patients with hypoplasia or breast atrophy, among whom 34 had breast ptosis and 20 had tubular breast deformity. The median follow-up period was 20 months. The average implant volume was 268.8 mL, and a smooth implant was used in 85.4% of cases. There was 1 case of hematoma, 2 cases of wound-healing issues, 2 cases of rippling, 2 cases of grade III or IV capsular contracture, 5 cases of implant malposition, and 12 cases of mild muscle contraction-associated deformity. Revision procedures were performed on 2 patients.</p><p><strong>Conclusions: </strong>The subfascial mini-muscle release dual-plane technique is an easy method of breast augmentation, and it is especially indicated for ptotic breasts and tubular breast deformities. This technique combines the advantages of traditional dual-plane and muscle-splitting techniques, yielding a satisfactory aesthetic outcome.</p><p><strong>Clinical question/level of evidence: </strong>Therapeutic, IV.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"51-62"},"PeriodicalIF":3.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and reconstructive surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PRS.0000000000011284","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/8 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Each breast augmentation technique has advantages and indications, and the quest for the perfect implant pocket plane is ongoing. An ideal dual plane should meet 3 requirements: adequate implant coverage, optimal control of breast shape, and maximal muscle preservation. The authors report a modified procedure for breast augmentation: the subfascial mini-muscle release dual-plane technique.
Methods: From an inframammary or periareolar approach, the implant pocket is dissected in a subfascial plane up to the pectoralis major muscle. The muscle is split 3 cm above the lateral margin, and then pocket dissection proceeds in the submuscular plane. A small portion of the costal origin is divided inferomedially to create a dual plane.
Results: This study included a total of 178 patients with hypoplasia or breast atrophy, among whom 34 had breast ptosis and 20 had tubular breast deformity. The median follow-up period was 20 months. The average implant volume was 268.8 mL, and a smooth implant was used in 85.4% of cases. There was 1 case of hematoma, 2 cases of wound-healing issues, 2 cases of rippling, 2 cases of grade III or IV capsular contracture, 5 cases of implant malposition, and 12 cases of mild muscle contraction-associated deformity. Revision procedures were performed on 2 patients.
Conclusions: The subfascial mini-muscle release dual-plane technique is an easy method of breast augmentation, and it is especially indicated for ptotic breasts and tubular breast deformities. This technique combines the advantages of traditional dual-plane and muscle-splitting techniques, yielding a satisfactory aesthetic outcome.
Clinical question/level of evidence: Therapeutic, IV.
期刊介绍：
For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis.
Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.
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