What is Dual Plane Breast Augmentation?

One of the most effective techniques for breast enhancement is dual plane breast augmentation, a sophisticated approach that blends the benefits of different implant placements to achieve natural, long-lasting results. If you’re looking for a breast augmentation technique that offers a natural appearance, improved implant positioning, and a balanced look, dual plane breast augmentation may be the perfect solution for you.

Dr. Glenn Lyle, a board-certified plastic surgeon in Raleigh NC is highly experienced in breast augmentation using both breast implants and fat grafting.  In this blog, he covers the benefits of the dual plane technique. 

Understanding Dual Plane Breast Augmentation

What does “dual plane” mean? Simply put, this technique involves placing the breast implant partially beneath the pectoral muscle (submuscular) while also allowing part of the implant to sit beneath the breast tissue (subglandular). This hybrid approach enhances both the natural shape of the breast and the implant’s positioning for an optimal outcome. This is the type of implant positioning that Kylie Jenner recently brought attention to when she went public with details of her breast augmentation.

Virtually all submuscular augmentations are dual plane since the anatomy of the pectoral muscle is such that the lower pole of the breast tissue - especially laterally- often falls below the lateral pectoral border. If no muscle is released- the implant can be positioned in an unnaturally high location. Dual plane positioning can be adjusted by more aggressive cutting of the medial attachments of the pectoral major muscle from the ribs and sternum to be optimized for larger implants, or, to some degree- minor degrees of ptosis or drooping, If ptosis or sagging is more severe- a breast lift will be necessary as dual plane positioning has its limits. 

During the procedure, Dr. Lyle carefully releases the lower portion of the pectoral muscle to create the ideal pocket for the implant. This positioning allows for greater implant mobility, improved upper pole fullness, and a seamless transition between the chest and the breast. By combining the coverage of the muscle with the softness of breast tissue, dual plane augmentation achieves a balance that other placement techniques may not offer.

Additionally, this technique can provide better long-term stability and prevents excessive implant movement, ensuring the breasts maintain a youthful, aesthetically pleasing shape over time. Implant movement can occur with muscle activation- a situation called animation deformity- where pectoral activity causes the implant to temporarily shift superiorly and laterally. Subglandular or subfascial positioning avoids this condition. 

Why Dr Lyle Recommends Dual Plane Breast Augmentation

Many of Dr. Lyle's patients choose dual plane breast augmentation because it provides a superior balance between aesthetic beauty and surgical precision. Here are some of the benefits:    

• A More Natural Look & Feel - The partial submuscular placement creates a smooth transition between the chest and the breast, reducing visible implant edges and rippling. This means that even in low-cut clothing or swimsuits, the breasts appear soft, full, and natural.    
• Better Upper Pole Coverage - The implant is protected by the pectoral muscle in the upper portion, ensuring a softer, more natural transition between the chest wall and the breast. This helps avoid the overly round or “stuck-on” look some women fear with breast implants.    
• Improved Results for Mild Sagging - This technique is an excellent option for women with mild ptosis (breast sagging) who want a subtle lift without requiring a full breast lift. Many patients who have lost volume due to pregnancy, weight loss, or aging find that dual plane augmentation restores a more youthful contour.    Subglandular positioning might be recommended for women with mild ptosis since the lower breast is projected better and may obviate the need for a mastopexy.
• Reduced Capsular Contracture Risk - The submuscular positioning lowers the likelihood of excessive scar tissue forming around the implant, one of the most common complications in breast augmentation. By keeping the implant partially covered by muscle, the risk of hardening or distortion is significantly minimized.   Recently, improvements in breast implant technologies have reduced the risks of capsular contracture allowing plastic surgeons to feel more comfortable offering subglandular placement.
• Enhanced Longevity & Adaptability - This technique works well for women with thin breast tissue, preventing visible implant edges and offering a longer-lasting result. Should a patient wish to adjust implant size or shape in the future, the dual plane technique allows for easier revisions compared to some other placement methods.
• Possibly better mammograms: submuscular positioning might allow for better mammograms as the breast tissue is somewhat separated form the implant. Special views may be necessary to image the breast tissue with implants in place

For many patients dual plane breast augmentation provides the best balance of aesthetics and long-term results. It's a trusted technique because it delivers beautiful, natural-looking outcomes.

Who is a Good Candidate for Dual Plane Breast Augmentation?

Women considering breast augmentation may benefit from the dual plane technique if they:  

• Have mild to moderate breast sagging but do not require a full breast lift.  
• Desire natural-looking breast enhancement without an overly artificial appearance.  
• Have thin breast tissue and require additional coverage over the implant.  
• Are looking for a long-lasting and aesthetically pleasing result.  
• Want better implant mobility that adapts naturally when moving.  
• Are interested in a breast augmentation technique that allows for future adjustments, such as switching implant sizes or shapes.  
• Have asymmetry in breast positioning, where dual plane augmentation can help create a more balanced and symmetrical appearance.

If you’re unsure whether this technique is right for you, please schedule a consultation with Dr. Lyle in Raleigh NC. Together, we will determine the best approach to meet your goals.

The Dual Plane Surgical Process: What to Expect

Pre-Surgery Consultation  

• Every woman’s anatomy is unique. Dr. Lyle carefully assesses breast shape, skin elasticity, and tissue thickness to create a customized surgical plan that complements the body’s natural proportions.   
• During the consultation, Dr. Lyle discusses implant type, size, and incision placement to achieve the best outcome. You will have the opportunity to try on implant sizers to get a sense of their potential new look.   
• Dr. Lyle will use digital imaging and simulations to help visualize how different implant sizes and placements will look on your body, ensuring you feel confident in your decision before surgery.

The Surgery Day  

• The procedure is performed under general anesthesia at an accredited surgical facility for maximum safety.   
• Dr. Lyle will make a carefully placed incision-usually in the inframammary fold (under the breast)-to ensure minimal visible scarring.   
• The pectoralis muscle is partially released, allowing the implant to rest in a dual-position pocket for the best support and flexibility. This technique allows the implant to settle naturally while maintaining a lifted and youthful contour.  
• Once the implants are positioned for symmetry and balance, I close the incision with meticulous precision to promote optimal healing and minimize scarring.

Precision is key in this step - Dr. Lyle will take great care in ensuring your implants are placed precisely to give you the most natural, youthful contour.

Recovery & Healing: What You Need to Know  

• First Few Days - Patients experience mild swelling, soreness, and temporary tightness, which can be managed with prescribed pain medication, compression garments, and proper post-op care.  
• Returning to Daily Activities  - Most women resume light activities within a few days, but strenuous workouts should be avoided for several weeks to protect the surgical area and ensure optimal healing.  
• Long-Term Results  - It takes a few months for implants to fully settle, but once they do, the results appear beautifully natural and well-proportioned.  
• Scar Healing & Follow-Ups  - Dr. Lyle provides patients with a detailed post-operative care plan, including scar treatments, follow-up visits, and guidance on maintaining long-term breast health.

Dr. Lyle will guide you every step of the way - ensuring a smooth recovery with minimal discomfort. You’ll be able to enjoy your new look with confidence and ease.

FAQs About Dual Plane Breast Augmentation

Schedule Your Consultation Today

If you’re considering dual plane breast augmentation, please schedule a consultation with Dr. Lyle in Raleigh, NC. Together, we can explore your options and determine the best path toward achieving your aesthetic goals.

Contact us or call the office to book an appointment. 

Further Reading

• Read Dr Glenn Lyle's procedure on Breast Augmentation in Raleigh, NC 
• Read Dr Glenn Lyle's Blog on Beautifying the Chest--How Breast implants can have dramatic results. 

About Dr Lyle - Plastic Surgeon in Raleigh NC  

Dr. Glenn Lyle is a board-certified plastic surgeon serving the Raleigh, NC community at Lyle Plastic Surgery & Aesthetics Center since 2002. With over 30 years of experience, he specializes in breast surgery and body contouring , including tummy tucks, to enhance patients' appearance after weight loss, pregnancy, and aging.  

Dr. Lyle completed his medical degree at Wayne State University School of Medicine, followed by a general surgery residency at the University of Massachusetts and a plastic surgery residency at the University of Texas Medical Branch. He is certified by the American Board of Plastic Surgery and is a member of both the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgeons.  

Throughout his career, Dr. Lyle has contributed to the field through research, publications, and presentations at national meetings. His practice emphasizes patient safety and personalized care to achieve natural results.  

Next Steps  

If you’re considering a breast augmentation in Raleigh, NC, and want personalized advice about your suitability, recovery, risks and results, I’d be happy to meet with you for a consultation. Let’s work together to help you achieve your best results-safely and beautifully.  

To book a consultation please fill in the contact form or phone the office.