Skip to main content

Subglandular to Muscle Splitting Biplane Conversion for Revision Augmentation Mammoplasty

  • Chapter
  • First Online:
Aesthetic Surgery of the Breast

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Khan UD. Breast augmentation: procedure, complications & treatment. J Muhammad Med Coll. 2012;3(1):12–9.

    Google Scholar 

  2. Cunningham B. The Mentor Core Study on silicone MemoryGel breast implants. Plast Reconstr Surg. 2007;120(7 Suppl 1):19S–29.

    Article  CAS  PubMed  Google Scholar 

  3. 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.

    Article  PubMed  Google Scholar 

  4. Last RJ. Anatomy regional and applied. 6th ed. Edinburgh: Churchill Livingstone; 1978. p. 65–6.

    Google Scholar 

  5. Muntan CD, Sundine MJ, Rink RD, Acland RD. Inframammary fold: a histologic reappraisal. Plast Reconstr Surg. 2000;105(2):549–56.

    Article  CAS  PubMed  Google Scholar 

  6. Cormack GC, Lamberty BGH. The arterial anatomy of skin flaps. 2nd ed. Edinburgh: Churchill Livingstone; 1994. p. 168.

    Google Scholar 

  7. 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.

    Article  CAS  PubMed  Google Scholar 

  8. Khan UD. Muscle splitting biplane breast augmentation. Aesthetic Plast Surg. 2007;31(5):353–8.

    Google Scholar 

  9. 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.

    Google Scholar 

  10. Dempsey WC, Latham WD. Subpectoral implants in augmentation mammoplasty: a preliminary report. Plast Reconstr Surg. 1968;42(6):515–21.

    Article  CAS  PubMed  Google Scholar 

  11. Regnault P. Partially submuscular breast augmentation. Plast Reconstr Surg. 1977;59(1):72–6.

    Article  CAS  PubMed  Google Scholar 

  12. 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.

    Article  CAS  PubMed  Google Scholar 

  13. 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.

    Article  PubMed  Google Scholar 

  14. 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.

    Article  PubMed  Google Scholar 

  15. 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.

    Article  PubMed  Google Scholar 

  16. Baxter RA. Subfascial breast augmentation: theme and variation. Aesthet Surg J. 2005;25(5):447–53.

    Article  CAS  PubMed  Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

  18. Brown T. Subfascial augmentation: is there any advantage over the submammary plane? Aesthetic Plast Surg. 2012;36(3):566–9.

    Article  PubMed  Google Scholar 

  19. 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.

    Article  PubMed  Google Scholar 

  20. Biggs TM, Yarish RS. Augmentation mammoplasty: a comparative analysis. Plast Reconstr Surg. 1990;85(3):368–72.

    Article  CAS  PubMed  Google Scholar 

  21. 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.

    Article  Google Scholar 

  22. Khan UD. Acquired synmastia following subglandular mammoplasty and the use of submuscular splitting biplane for its correction. Aesthetic Plast Surg. 2009;33:605–10.

    Article  PubMed  Google Scholar 

  23. 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.

    Article  Google Scholar 

  24. Khan UD. Secondary augmentation mammaplasties and periprosthetic infection. A three year retrospective review. Aesthet Surg J. 2012;32(4):465–73.

    Article  PubMed  Google Scholar 

  25. 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.

    Article  PubMed  Google Scholar 

  26. 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.

    Article  PubMed  Google Scholar 

  27. 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.

    Google Scholar 

  28. Khan UD. Mondor disease: a review of the literature and a case report. Aesthet Surg J. 2009;29(3):209–12.

    Article  PubMed  Google Scholar 

  29. 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.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Umar D. Khan M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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)

Publish with us

Policies and ethics