How does a dual plane breast augmentation work?

27 year old female here, thinking about getting breast implants. I have one friend who had surgery a few years ago. She looks great with her shirt on, but she showed me her boobs recently, and to be honest they just don’t look natural, which is the look I am hoping for if I decide to move forward. What is the dual plan method for breast augmentation and how is it different than other types? Will it give me a more natural look?

Mindbud

F, 30, New Jersey

Dual plane means that the upper part of the implant is under the muscle and the lower part is not.  This is the most common way breast augmentation is done.  This usually provides a more natural result than the method where the implant is placed on top of the muscle.  But implant choice and your anatomy are the most major factors to determine what it will look like.  An in-person consultation with a plastic surgeon should be your next step.  Best of luck!

Dr. Jonathan Heistein has 17 Breast Augmentation before & afters:

Breast Augmentation before image performed by Dr. Jonathan HeisteinBreast Augmentation after image performed by Dr. Jonathan HeisteinBreast Augmentation before image performed by Dr. Jonathan HeisteinBreast Augmentation after image performed by Dr. Jonathan HeisteinBreast Augmentation before image performed by Dr. Jonathan HeisteinBreast Augmentation after image performed by Dr. Jonathan HeisteinBreast Augmentation before image performed by Dr. Jonathan HeisteinBreast Augmentation after image performed by Dr. Jonathan Heistein

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 There are many factors that are associated with how a broast augmentation resut can look natural or not. The plane of implant placement is only one of those factors. In a dual plane augmentation, the implant is mostly covered by the pectoral muscle in the patient. This is in contrast to the under breast method where the implant is over the muscle. 

Dr. Reza Momeni has 12 Breast Augmentation before & afters:

Breast Augmentation before image performed by Dr. Reza MomeniBreast Augmentation after image performed by Dr. Reza MomeniBreast Augmentation before image performed by Dr. Reza MomeniBreast Augmentation after image performed by Dr. Reza MomeniBreast Augmentation before image performed by Dr. Reza MomeniBreast Augmentation after image performed by Dr. Reza MomeniBreast Augmentation before image performed by Dr. Reza MomeniBreast Augmentation after image performed by Dr. Reza Momeni

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I must respectfully disagree with Drs. Heistein and Momeni. There are two traditional ways to place breast implants, depending on the relation to the pectoralis major muscle, a large triangular muscle on your chest. It attaches to the bone near your outer shoulder and fans out across the chest, attaching to the collar bone, breast bone, and lower/inner ribs. Some surgeons put implants on top of this muscle; this is called subglandular positioning. Most surgeons go under the muscle. To do this, a portion of the muscle attachment on the ribs and along the lower breast bone must be released. This position provides muscle over the implant in the upper half of the breast which has the advantages of better disguising any rippling or visibility of the implant in the upper half of the breast, reducing the incidence of hardening of the breast, and making mammograms easier to perform. One disadvantage, however, is that when you contract that muscle (you can do this by pressing your hands together in front of you), you will probably see movement of the implants and distortion of the breast in the lower, inner quadrant of the breast where the cut edge of the muscle has attached itself to the overlying skin. It is not painful and causes no harm but can be very visible and a little disconcerting. In a dual plane breast augmentation, the muscle is separated from the overlying skin, as in a subglandular position, over a vertical distance of an inch to an inch and a half, and then the muscle is released from the breast bone and ribs, as in a typical under the muscle placement. This still provides for good under the muscle positioning in the upper breast while eliminating the tendency for movement and distortion seen in a typical under the muscle position. I placed implants under the muscle for years before experimenting with dual plane placement. Now, I put all of my implants in this fashion because the results have been so good.