Abstract
A variety of complications following augmentation mammoplasty can occur that require revisional surgery. The subglandular muscle splitting biplane conversion is useful for revisional surgery. The author describes the surgical anatomy, the breast dynamics, aesthetic considerations and history of augmentation mammoplasty, and the surgical technique. The unique nature of the upper submuscular and lower subglandular position of the implant in muscle splitting biplane has shown its capacity for natural, predictable, and long-lasting results.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Khan UD. Breast augmentation: procedure, complications & treatment. J Muhammad Med Coll. 2012;3(1):12–9.
Cunningham B. The Mentor Core Study on silicone MemoryGel breast implants. Plast Reconstr Surg. 2007;120(7 Suppl 1):19S–29.
Khan UD. Selection of breast pocket using pinch test in augmentation mammoplasty: can it be relied in long term? Aesthetic Plast Surg. 2009;33(5):780–1.
Last RJ. Anatomy regional and applied. 6th ed. Edinburgh: Churchill Livingstone; 1978. p. 65–6.
Muntan CD, Sundine MJ, Rink RD, Acland RD. Inframammary fold: a histologic reappraisal. Plast Reconstr Surg. 2000;105(2):549–56.
Cormack GC, Lamberty BGH. The arterial anatomy of skin flaps. 2nd ed. Edinburgh: Churchill Livingstone; 1994. p. 168.
Schlenz I, Kuzbari R, Gruber H, Holle J. The sensitivity of the nipple-areola complex: an anatomic study. Plast Reconstr Surg. 2000;105(3):905–9.
Khan UD. Muscle splitting biplane breast augmentation. Aesthetic Plast Surg. 2007;31(5):353–8.
Cronin TD, Gerow RM. Augmentation mammoplasty: new “natural feel” prosthesis. Third international congress of plastic surgery. International Congress series, No. 66. Amsterdam: Excerpta Medica; 1964. p. 41–49.
Dempsey WC, Latham WD. Subpectoral implants in augmentation mammoplasty: a preliminary report. Plast Reconstr Surg. 1968;42(6):515–21.
Regnault P. Partially submuscular breast augmentation. Plast Reconstr Surg. 1977;59(1):72–6.
Tebbetts JB. Dual-plane breast augmentation: optimizing implant soft tissue relationship in a wide range of breast types. Plast Reconstr Surg. 2001;107(5):1255–72.
Khan UD. Dynamic breasts: a common complication following partial submuscular augmentation and its correction using muscle splitting biplane technique. Aesthetic Plast Surg. 2009;33(3):353–60.
Khan UD. High transverse capsuloplasty for the correction of malpositioned implants following augmentation mammoplasty in partial submuscular plane. Aesthetic Plast Surg. 2012;36(3):590–9.
Spear LS, Schwartz J, Dayan JH, Clemens MW. Outcome assessment of breast distortion following submuscular breast augmentation. Aesthetic Plast Surg. 2009;33(1):44–8.
Baxter RA. Subfascial breast augmentation: theme and variation. Aesthet Surg J. 2005;25(5):447–53.
Graf RM, Bernardes A, Rippel R, Araujo LR, Damasio RC, Auersvald A. Subfascial breast implant: a new procedure. Plast Reconstr Surg. 2003;111(2):904–8.
Brown T. Subfascial augmentation: is there any advantage over the submammary plane? Aesthetic Plast Surg. 2012;36(3):566–9.
Khan UD. Muscle splitting, subglandular and partial submuscular augmentation mammoplasties. A twelve year retrospective analysis of 2026 primary cases. Aesthetic Plast Surg. 2013;37(2):290–302.
Biggs TM, Yarish RS. Augmentation mammoplasty: a comparative analysis. Plast Reconstr Surg. 1990;85(3):368–72.
Khan UD. Multiplane technique for simultaneous submuscular breast augmentation and internal glandulopexy using inframammary crease incision in selected patients with early ptosis. Eur J Plast Surg. 2011;34:337–43.
Khan UD. Acquired synmastia following subglandular mammoplasty and the use of submuscular splitting biplane for its correction. Aesthetic Plast Surg. 2009;33:605–10.
Khan UD. Combining muscle splitting biplane with multilayer capsulorrhaphy for the correction of bottoming down following subglandular augmentation. Eur J Plast Surg. 2010;33:259–69.
Khan UD. Secondary augmentation mammaplasties and periprosthetic infection. A three year retrospective review. Aesthet Surg J. 2012;32(4):465–73.
Khan UD. Breast autoinflation with sterile pus as a marker of implant rupture: single-stage treatment and outcome for five consecutive cases. Aesthetic Plast Surg. 2009;33(1):58–65.
Khan UD. Left unilateral breast autoinflation and intraprosthetic collection of sterile pus. an unusual operative finding of silicone gel bleed with silicone lymphadenitis. Aesthetic Plast Surg. 2008;32(4):684–7.
Khan UD. Implant rupture and ante-grade excision of axillary siliconoma through implant pocket. A case report and literature search. J Muhamm Med Coll. 2010;1:56–60.
Khan UD. Mondor disease: a review of the literature and a case report. Aesthet Surg J. 2009;29(3):209–12.
Khan UD. Breast envelope expansion in augmentation mammoplasty: comparative data analysis in submuscular and subglandular planes. J Muhamm Med Coll III. 2012;3(1):12–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Khan, U.D. (2015). Subglandular to Muscle Splitting Biplane Conversion for Revision Augmentation Mammoplasty. In: Mugea, T.T., Shiffman, M.A. (eds) Aesthetic Surgery of the Breast. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43407-9_27
Download citation
DOI: https://doi.org/10.1007/978-3-662-43407-9_27
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-43406-2
Online ISBN: 978-3-662-43407-9
eBook Packages: MedicineMedicine (R0)