Subcutaneous Lower Pole Release for Double Bubble Prevention in Constricted-Base Breasts: The "Plus One" Augmentation...

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Augmentation

Background:

• Constricted inframammary fold (IMF) and broad breast base predispose to double bubble (DB) deformity.
• Existing research often focuses on DB correction rather than prevention or IMF analysis.

Purpose of the Study:

• Introduce a third dissection plane in breast augmentation.
• Prevent or correct double bubble (DB) deformities.

Main Methods:

• Retrospective analysis of 46 patients undergoing breast augmentation with the "plus one" technique (2019-2021).
• Exclusion of patients requiring mastopexy.
• Visual and graphical analysis of lower pole curvature, BREAST-Q surveys, and 12-month follow-ups.

Main Results:

• A convex lower pole curvature was achieved in 96% of cases.
• A double bubble (DB) deformity complication rate of 2% was observed.
• Postoperative patient satisfaction scores significantly improved from 43 ± 2 to 94 ± 3.

Conclusions:

• The "plus one" method is a reproducible technique for breast augmentation.
• It demonstrates stable, satisfying outcomes with a low complication rate.
• The technique serves effectively as both a prophylactic and corrective measure for DB deformities.