Triple-plane technique for breast augmentation: solving animation deformities

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Augmentation

Background:

• Subpectoral implant placement can lead to animation deformities.
• These deformities occur due to pectoralis muscle contraction.
• Minimizing these dynamic distortions is crucial for patient satisfaction.

Purpose of the Study:

• To evaluate the effectiveness of the triple-plane technique in reducing animation deformities.
• To assess the aesthetic outcomes in patients who underwent subpectoral implant placement using this method.
• To analyze the incidence and severity of breast distortion post-procedure.

Main Methods:

• A retrospective review of 524 patients who underwent the triple-plane technique for subpectoral implant placement.
• Evaluation of animation deformities using the Spear grading system by three independent plastic surgeons.
• Data analysis based on a 4-point scale for breast distortion.

Main Results:

• The majority of patients (67%) experienced no distortion (Grade 1).
• Mild distortion (Grade 2) was observed in 29.77% of patients.
• Moderate (Grade 3) and severe (Grade 4) distortions were infrequent (3% and 0% respectively).

Conclusions:

• The triple-plane technique is highly effective in minimizing animation deformities.
• Horizontal sectioning of the pectoralis major muscle preserves superior muscle activity, reducing dynamic deformities.
• This technique offers excellent aesthetic results with a low incidence of breast distortion.