Nipple Reduction

What is nipple reduction? 
We often get patients enquiring at the clinic about nipple reduction and it can mean a number of things.
What is commonly referred to as the nipple, in medical terms it is made up of what we call the nipple areolar complex (NAC).

This comprises the actual nipple itself which is the bit that sticks out in the middle and the areola which is the pigmented area around the outside.

When patients talk about a nipple reduction it can mean different things for females and males.
For a female, it can often mean areolar reduction where the pigmented area around the nipple is too large, and so this can be reduced by removing a doughnut of skin, and in fact it is not the nipple itself that is the problem at all.

It is less common for the actual nipple to be enlarged.

Of course, it is possible to reduce the nipple if this is the problem. 

Men who complain of enlarged nipples are often suffering from gynaecomastia which may manifest itself as puffy nipples, and again it is usually the areola that is being referred to.

However, an areolar reduction is not normally the best treatment because it is caused by the tissue behind the nipple pushing the nipple forward and making the areola look more prominent, and the best way to address this is by gynaecomastia correction which will remove that puffy tissue and once the tension has gone from the nipple it will shrink back and look normal again.

Again it may actually be an enlarged nipple that can be a problem, although this is less common, but if this is the case it can be addressed by taking a small piece of it away so that it is not so prominent.

When people talk about a nipple reduction it is important to be clear about what part of the nipple areolar complex needs to be reduced and what is causing the enlargement, so that this can be addressed.
A picture tells a thousand words and you are always welcome to send us a photo if you are not sure what the problem is, and of course, you would be welcome to come to the clinic for a consultation to speak to one of our surgeons in order to get an more accurate idea about what treatment might be right for you.

Don’t forget that our Director, Jonathan Staiano, does a live Q and A on Facebook every Tuesday at 7 p.m. and please go over to our Facebook page if you would like to put a question directly to him.  Feel free to leave a comment or drop us an e-mail.
If you want to come for a free no obligation consultation with one of our plastic surgeons, please call or email us or fill in the on-line contact form.

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Cosmetic Surgery App aimed at children

Cosmetic Surgery App aimed at children
 
I have read today about an App that has been made that is aimed at children
https://www.independent.co.uk/voices/plastic-surgery-girls-children-liposuction-nose-job-lip-filler-double-eyelid-surgery-body-image-a8270041.html

This is very worrying and is part of a growing trend to sensationalise plastic and cosmetic surgery.

I have a 13 year old daughter and I feel her pain and insecurities she has around her appearance and if I could give her just one gift it would be self-confidence, and I think this is something that we all lack at times.

Society, and particularly the media, does a great job of portraying idealistic lifestyles and no-one wants to hear if we are not really OK and see an image of someone who has spots or is slightly overweight, and it is a tragedy that these preconceived ideas are being indoctrinated at such a young age, as this App is clearly aimed at small children.

One of the great joys of seeing children playing together is that they do not care if one is fat or skinny, has a big nose or sticky-out ears, is black or white, is rich or poor.

They take them as they find them and this beautiful innocence and tolerance is gradually taken from them.

They do not care if their dad is a shop-keeper or the Prime Minister.

They pay no attention to the make of clothes their friends are wearing or the car that their parents drove them to the party in.

They take each other as they see them.

For some reason this is lost as we get older and we start to judge each other and feel judged and whilst cosmetic surgery can have a huge positive impact on people’s lives and I am very proud to be a part of that, I find it distressing that people can be so obsessed and unhappy with something that in reality is quite trivial, such as the appearance of their face or their breasts or their body, and the longer we can maintain the innocence in our children the better.

I should not be suggesting that there is a need to change how we look, and we should not be indoctrinating our children with the idea that it is preferable to have a certain appearance.

I know that people will look at me and think that I am part of the problem because I perform cosmetic surgery, but if only they could see the transformations that can be made and the lives that can be changed.

I am a great advocate of cosmetic surgery and I think it can be a great force for good, but I am very worried about how it is perceived by many.

I would like our children to hold onto their inner beauty and self-confidence for as long as possible.

If you have any questions or concerns then we’d love to hear from you.  You can e-mail us or call us.

Or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

Why We Don’t Do The Internal Bra Mastopexy

The problem with mastopexy

…and why the internal bra mastopexy is good

The biggest problem we have with mastopexy (breast lift) is maintaining stable upper pole fullness in the breast.

This is because over time natural tissues will always tend to sag and descend, and so whilst when you first do a mastopexy you can achieve quite significant fullness in the upper part of the breasts, as everything settles that fullness becomes less prominent and turns the initial convexity into a concavity in the upper pole and a softer look, which I often describe as being more natural but patients sometimes do not like it in preference for a fuller look which is after all what most patients are after when they are having a mastopexy.

This fullness can be achieved with breast implants and sometimes patients prefer the look that is achieved with a lift combined with implants, it is not without its potential complications.
Obviously, your breast would be bigger with implants and not all patients want to be bigger.

There has been a lot of research into the possibility of techniques to achieve a more stable fullness in the upper pole and this is always something that I am keen to look into and explore, because if someone can come up with a good solution then that really would be solving a very common problem.

The problem with the internal bra mastopexy

…and why we don’t use it

There has been an internal bra around for some time in various forms and what this involves is using some form of prosthetic mesh which helps to support and hold the breast tissue up to create a more stable fullness in the upper pole.

The science behind it is sound and it seems to give good results which can be stable over the long term.

However, it has not been widely adopted and it is not something that we use regularly here in the clinic because while it can give good results, it does increase the risk of complications.

Whenever a prosthetic material is used, if there is any infection, then the prosthetic material needs to be removed.

The problem with an internal bra mastopexy is that the mesh is incorporated into the breast tissue and so it is more difficult to remove in situations of infection.

Furthermore, the mesh needs to be anchored securely because if it is not securely anchored then it will just drop with the breast tissue.

For this reason they are usually anchored into the bone of the ribs and so this can cause discomfort and again, any infection around the bony fixation can be troublesome.

By definition the mesh has to be placed relatively close to the skin because if there is too much breast tissue on top of it this tissue will sag and defeat the object, and so there is a risk that you might be able to feel the mesh or see it, and the possibility of extruding through the skin can cause problems with the healing of the skin, which is already compromised by virtue of the mastopexy surgery itself.

Personally, I feel that the balance is weighed against these meshes at the moment, but I am excited to see how things develop.

The problem we have here at the clinic is that people will read headlines or see the latest developments being advertised and think that they are the solution to their problems, but when you get down into it and really analyse the science and look at the facts and figures behind these devices being used, rather than just looking at the headline cases, you will see that there is usually no easy solution for these difficult problems.

I find the best thing is to give people a realistic expectation of what can be achieved with mastopexy and then they can make a decision on whether it is right for them or not and perform the surgery in the safest way possible giving the most predicatable outcomes that we can achieve.

At the moment we are not using the internal bra mastopexy, but we will continue to keep at the forefront of the literature and available science and aim to give you the best advice and outcomes that we can.

If you have any questions about the use of prosthetic meshes and the internal bra mastopexy please e-mail us or call us.
Or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

Tuberous breast deformity

Tuberous Breast Deformity

 
Tuberous breast deformity is a term that I see quite a lot, particularly on blogs and forums.

It is used as a label to encompass quite a wide range of breast deformities.

Patients can get quite upset and anxious when they hear the term and think that there might be something wrong with them when they are given this diagnosis, but it is really just a term used to describe a combination of features of the breast and it is nothing to fear.
In fact, I often see people who have been labelled as having a tuberous breast deformity, when in its mildest forms, it is simply a variation of the normal breast shape.
At the end of the day, it does not really matter what label you are given and as doctors, we are beholden to treat the patient rather than the condition.
This means that if you are unhappy with the size and shape of your breasts it might be possible to do something to improve them, but if you are happy with things it does not matter whether you are told you have a tuberous breast deformity or not and I would suggest you are best off leaving things well alone.

Features Of The Tuberous Breast

The features of a tuberous breast deformity include deficiency in the lower pole of the breasts, so that the line from the nipple to the chest wall is much shorter than normal and the breast lacks the natural fullness in the lower part.
This often goes along with a raised or ill-defined inframammary fold (the fold where the bra sits).
The base of the breast is said to be constricted and the nipple areola complex is often enlarged and herniated, which means that the areola (the pigmented area around the nipple), can look puffy and prominent.
It is also often associated with breast asymmetry. 

Treatment Of The Tuberous Breast

Treatment, as with any form of breast re-shaping is aimed at targeting the patient desires.

In its mildest forms, breast implants alone may restore volume to the breasts and careful selection of shape and profile can restore a natural contour to the breast.
In more severe cases of tuberous breast deformity, expansion of the lower pole may be required.
This can be performed internally by using the same incision as used to put the breast implants in and releasing the lower gland to help the implant to expand the deficient lower pole.
It might also be necessary to perform some scoring internally to help expand the herniation of the nipple areola complex to give a smoother shape to the breast.
There is only so much that can be done by internal scoring and implants, and if a more comprehensive correction of the breast shape is required, then a breast lift can be performed to re-arrange the breast tissue, and it might be necessary to combine this with implants to add the volume.

In order to address the herniation of the nipple areola complex, an areola reduction might be required which is an integral part of a breast lift and this will leave a scar circumferentially around the areola.
It is hard to encompass all of the surgical options for tuberous breast deformity, particularly since in cases of asymmetry, different things may be required to be done to each breast.

Cost Of Correction Of Tuberous Breast Deformity

This means that it is difficult to provide an accurate quote for patients asking about the cost of correction of tuberous breast deformity as I discuss below (starts at 4;04):

[video_player type=”youtube” style=”2″ dimensions=”560×315″ width=”560″ height=”315″ align=”center” margin_top=”0″ margin_bottom=”20″ ipad_color=”black”]aHR0cHM6Ly95b3V0dS5iZS9VRmlGT3FTWjFSQT90PTI0NA==[/video_player]

There is no substitute for a personal consultation with a Consultant Plastic Surgeon, and it is cases like these that are often best treated by surgeons who specialise in cosmetic breast surgery.

For more information about finding such a surgeon you can read my book ‘Never Accept a Lift from Strangers‘, which is available from Amazon or my website.

If you have any questions we’d love to hear from you.  You can e-mail us or call us.
Or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

Why Does Gynaecomastia Surgery Cost So Much?

When it comes to gynaecomastia surgery cost, we do have a price range

I am very keen that we are transparent with our fees here at the STAIANO Clinic and I do not want patients to feel like there will be lots of add-ons or hidden costs.
For that reason we only ever charge for the initial consultation and make it clear that we will never charge for a follow up consultation whether it is before or after the surgery.

Gynaecomastia Surgery Cost

When it comes to the cost of gynaecomastia surgery, we do quote a ‘from‘ price and I know that this makes some people suspicious, but the vast majority of patients will be paying the baseline price.

REQUEST A PRICE FOR GYNAECOMASTIA CORRECTION

The reason we have a ‘from’ price is because the more severe cases of gynaecomastia may be more expensive.
The treatment of gynaecomastia is aimed at targeting the three areas that can be affected:

  1. Fatty tissue.
  2. Glandular (breast) tissue.
  3. The skin.

Each of these areas are targeted separately.

1. Fatty tissue

The fatty tissue can be targeted with liposuction and this allows the contour of the chest to be improved through very small stab incisions.

 2. Glandular tissue

In most cases there is some dense glandular tissue just behind the nipple which is not removed through liposuction and so a small incision is required on the edge of the areolae to remove this dense tissue.

The vast majority of cases of gynaecomastia can be treated through a combination of liposuction and excision and this is the price that we quote when people enquire.

3. The Skin

The reason there is a ‘from’ price is because some cases require skin excision and this is a much more involved (and expensive) undertaking.
If there is only mild excess, then by removing the fatty and glandular tissue the skin may recoil and may not need to be removed, particularly if you have good quality skin, as is the case in young patients who do not smoke.
However, in cases of significant skin excess the skin may need to be removed in order to give an acceptable chest contour.
Not only does this create extra scarring, but it is a bigger operation with more potential for wound healing problems, and so is more expensive.

Gynaecomastia surgery cost

Before & After Gynaecomastia Correction with Skin Excision

It is only really by examining you and talking you through all the options that we will know what will be the best option for you, which is why whenever we quote, we give the price for liposuction and excision which will suit the majority of patients.
Once you have been to the clinic and we have had the chance to meet and examine you and talk through your goals and wishes, then we can provide you with an accurate quote which will include our complete aftercare package, and the opportunity to come back to the clinic to go over things as often as you like.

And remember we have our satisfaction guarantee

…which means that if we have been unable to help you then we would be more than happy to refund the full consultation fee.
You can find out more on our gynaecomastia page, or you can download our guide , e-mail us or call us.
For further information please feel free to contact us or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

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When is a Lifetime Warranty not a Lifetime Warranty?

When is a Lifetime Warranty not a Lifetime Warranty?

 It is really important to be informed about what sort of cover you have got if you thinking of having cosmetic surgery and all too often people assume that they are covered, particularly if they see headlines such as lifetime warranty or ten year guarantee

because you need to ask exactly what is covered in that guarantee.

You often find that breast implants have a lifetime guarantee, but it is just the implant that is guaranteed.
This means that if there is a problem with the implant they will give you a new one, but it does not cover the costs associated with surgery which can be significant.
They usually require the implant to be returned to the factory so it can be analysed to check there was a manufacturing defect that caused the problem with the implant (which would usually be a rupture) and then it may be that they will only supply a like for like replacement and so if you wanted to have a bigger or smaller implant that may not be covered, and certainly if you wanted to have a different make of implants then the warranty would be useless.
The question also comes as to whether they will cover surgery for the other side, because if you have had an implant problem with one of your implants, you may choose to have both changed but they may or may not cover replacement of the opposite breast implant.
All the manufacturers vary and some will allow you to change the opposite implant and they may allow you to have a different size, although it may be limited to just one size bigger or smaller.
Most implants are guaranteed for rupture but what about other problems such as capsular contracture?

Some companies such as Nagor do cover for capsular contracture, whereas others do not.

On the other hand, some companies will give you money towards the cost of revision surgery, for instance Allergan, although it does need the implant to be analysed and to be shown to have a manufacturer defect and the rupture needs to occur within ten years of implantation.
POLYTECH who make the polyurethane foam implants also offer an extended warranty through their distributor Q Medical.
This offers two years of cover where they will pay money towards the hospital costs if you were to require revision surgery and this is an insurance backed scheme which is automatically taken out for everybody who has these implants.
This can be welcomed because private hospitals have their own time periods for allowing revision surgery free of charge, but this is often six months to one year.
It is important to be clear what is covered in these policies of revision that is usually a problem such as malposition, seroma, or infection.
If it is a purely cosmetic problem in that the implants are too big or too small, then cover will not be provided and so you need to make sure that you are completely comfortable with the implant choice before having surgery.

This is one of the reasons we encourage our patients to come back to the clinic as often as needed before having to finalise the implant choice.

If you would like breast implants then you really need to think that there may well be further surgery required and the likelihood is the cost of that further surgery will not be completely covered by any guarantee or warranty provided.
For this reason, you should budget for the potential for further surgery and make sure you are fully informed before going ahead.

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For further information please feel free to contact us or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

Treatment for Breast Asymmetry

Treatment for breast asymmetry

 
All patients have a degree of breast asymmetry to a greater or lesser extent and when performing a breast reduction or a breast augmentation it is often possible to correct minor degrees of asymmetry, but we always warn people that there will be some residual asymmetries as it is quite natural to have differences between the two halves of our body.

It is cases of severe breast asymmetry that can pose a challenge and often require a little more thought and planning.

The first question to ask if you have a breast asymmetry, is whether you are happy with one of your breasts.

If you are happy with one of your breasts then it might be possible to just operate on one side to try and make that breast look like your ‘good’ breast.
If you are unhappy with both your breasts, then you may need surgery on both sides.

The next question is whether it is the size or the shape, or both the size and the shape that you are unhappy with.

If it is just the size that you are unhappy with and both breasts are of an acceptable shape, then it will be possible to make the big one smaller by doing a breast reduction or the small one bigger by using breast implants and sometimes and combination of these is required.

Breast implants are very effective at increasing the size of the breasts and although they come in a variety of different shapes and profiles, they do not have a dramatic effect on the shape of the breast.
If it is the shape that you are unhappy with, then your best option would be a breast lift (or a breast reduction if you wanted your breasts to be smaller).

As you can see, surgery for breast asymmetry can often be complex involving a variety of techniques including breast implants which often have to be of different shapes and profiles to give different effects to each breast, breast lifts, and breast reductions.

Whenever different surgery is done to each breast there is a risk that as you age, the breasts will settle differently.

If one breast is smaller and has an implant in, but the other side does not have an implant, then it is likely to be more pert and have a fuller look than the opposite side which is made up of breast tissue, because breast tissue will naturally droop or sag as the years pass.

This is where conversations come in where some patients might want a reduction of a bigger breast to match the volume of the smaller one and then to have the same size implants put into both so that they age in a similar way.

However, this then does bring in the complications associated with implants into a breast that may not have needed them.  It is swings and roundabouts.

Plastic surgery is really an art more than a science

and so there is often no easy answers in these situations and it requires a full and frank discussion with your surgeon.

You need to spend time exploring all of your options and will often have to accept that there will be a degree of asymmetry whatever surgery you have.

The aim of surgery is usually to restore symmetry as best as possible to make you balanced while wearing clothes and sometimes out of clothes you will still see some asymmetries and these are often magnified because you have lived with a more significant symmetry in the past.

I think it is important to realise at the beginning that all patients have a breast asymmetry to some degree, so it is usually a case of bringing it back into normal limits rather than achieving perfect symmetry.
We look at the consultation as a partnership between us and you and while we will help and guide you through the process, we will always aim to come to a mutual decision as to what might be the best option for you.

Don’t worry if this does not come in the first consultation.

It often takes two, three, or more consultations before you come up with a clear plan and that is why we only charge for the initial consultation because we want you to feel that you can come back as often as you need to go over things and make sure that you are happy with the plan.

As ever, it is always important to wait until your breasts have stopped developing so ideally you should wait until you are at least 18 before having surgery for breast asymmetry and you should also be happy and stable with your weight before having your breast asymmetry corrected.
You will need to be aware that as time goes on, particularly if you put on weight or have children, your breasts can change and so we always offer all our patients unlimited follow ups in the future because we know that life can be unpredictable.

For more information please download one of my guides and if you would like to arrange a consultation with us, the only plastic surgery clinic in the UK that specialises in breast surgery, call us now to arrange a consultation so that we can go over all of the possible options.

When Does A Puffy Nipple Become Gynecomastia?

Gynecomastia is common.

Sometimes we get asked by journalists about gynecomastia and whether cosmetic surgery for men is on the increase.
We specialise in cosmetic breast surgery and the majority of our male patients are gynecomastia patients.
I have to say I have not noticed any significant rise in this surgery as it has always been quite popular.

I think the main thing is that men do not tend to talk about it.

Men who are conscious about their chest think that it is unusual and are embarrassed to confront the problem.
You see, when a woman has breast surgery they are quite happy to freely talk about it and are much more open in discussing their concerns and anxieties about the shape of their breasts.

However, it would not be common for a group of men to openly discuss the size of their breasts over a pint.

When we were approached by one of the morning TV chat shows for a case study of a man who had had gynecomastia correction, it was very hard to find someone who would agree to go on camera.
When we spoke to our patients and they were all delighted with the results and felt their lives had been changed.
They would like the world to know that the problem is not rare or unusual and can be treated successfully.
However, when it comes to appearing on television or even in a magazine, they quite understandably do not want to be identified.
It would be embarrassing in the workplace and among their friends and I completely understand this.
There is a lot of mystery around whether it is actually gynecomastia or not.
We get many enquiries from patients who feel that they have got large nipples or puffy nipples but when it actually comes down to it, it is actually gynecomastia correction that they need rather than a nipple reduction or areola reduction.
Gynecomastia is simply an excess of male breast tissue.

What is Gynecomastia?

 

All men have got breasts and if you look at the physique of a well-toned bodybuilder you can clearly see the definition in the chest area.
It is very subjective as to when a puffy nipple becomes gynecomastia and it is really dictated by when it bothers a person
If you are bothered by it and it is something that can be treated, then it might be worth treating.
On the other hand you see many people on the beach who may have excess breast tissue but if it does not bother them, that is great and there is absolutely no need for treatment.

Types of Gynecomastia

Mild Gynecomastia

Mild Gynecomastia

Moderate Gynecomastia

Moderate Gynecomastia

Severe Gynecomastia

Severe Gynecomastia

The first thing with any patient with gynecomastia is for them to be at their ideal weight as this can help the problem.
There are certain medical conditions that can cause or exacerbate this condition and it is helpful to be checked out by your GP to ensure there is no underlying cause.
The majority of cases are idiopathic, meaning that there is no cause.

It doesn’t matter what you call it –

if you are embarrassed or unhappy with the shape of your chest, we may be able to help

It doesn’t really matter what you call it – gynecomastia, man boobs, puffy or large nipples, if you are troubled by the shape of your chest, then you can come and have a chat with one of our surgeons to see if anything can be done about it.
There are a variety of treatments available and you can read about ‘why gynecomastia surgery costs so much’ here.
We have perfected techniques that allow your gynecomastia to be corrected without leaving any visible scars and you can watch our video where our director, Jonathan Staiano, talks in more detail about this.
If you want to talk to someone, we have a lot of happy patients who would be more than happy to give you a ring to talk about their experience.
So drop us a line and we would be more than happy to see if we can help.
You can call us on 0121-454 3680 or send us an email.
And you can read more about Gynecomastia here

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Dual plane breast augmentation “ fantastic compromise or marketing gimmick?

Dual Plane Breast Augmentation

One part of the consultation for patients considering breast augmentation is whether to have the implant on top of or underneath the muscle.

Unfortunately there is an awful lot of hype around cosmetic surgery

…particularly breast implants and I will often hear patients say to me they have heard that on top of the muscle is better or that under the muscle is more natural.

It is not really possible to make these sweeping comments, because the fact of the matter is there are good things and bad things about both.
You need to weigh up the pros and cons and take into account your body type and physique and your lifestyle and hobbies, so that you can come to a balanced and informed decision as to what might be right for you.

Sometimes patients will come to the clinic torn between whether to have them on top of or behind the muscle and they are delighted when they hear about the dual plane technique, but surely this is a compromise between the two with all of the benefits of both.

If someone tells you that one way is the best way to do something or if one type of implant is the best implant, when there are lots of other options available I would advise caution in listening to that advice, because if one was the best, then surely there would be no need for all of the others.

I understand that sometimes it is easier to explain things in terms of what we might recommend, but we should really be giving patients all of the available options to empower them to make the decision as to what might be right.

Broadly speaking, implants can either go on top of the muscle or under the muscle.

There are nuances with both planes, but I do not think the average patient needs to get too worried about the specifics. When they go on top of the muscle they can in either be in a subglandular or a subfascial plane and under the muscle can be a dual plane type I, II, or III.

When I teach and lecture plastic surgeons it is not uncommon for trainees to stand up and be unsure about the exact differences between dual plane type I, II, and III, so it is not something I would expect the average patient to know much about.

The important thing is that all submuscular breast implants are in a dual plane

So in terms of cosmetic breast surgery you can use the term submuscular interchangeably with a dual plane technique.

When the implants are placed under the muscle, it is the pectoralis muscle that is used, but this just covers the upper inner part of the implant. The lower outer part of the implant is only ever covered by breast tissue and so there is always a dual plane.

It is possible to put an implant in a total submuscular plane, but this is only used in breast reconstruction when there is no breast tissue to cover the implant, and so other muscles surrounding the pectoralis major muscle are raised and used to get complete muscle coverage, but this is not a technique that is ever used in cosmetic breast surgery.

The dual plane technique and the different types of dual plane are very useful to the plastic surgeon and the types I, II, and III refer to the amount of subglandular dissection that is performed.

For instance, a type III technique involves making a plane on top of the pectoralis major muscle and freeing the breast off the muscle.
This allows it to hang and sit with the implant in cases where patients have a droop or a sag to their breasts, and the dual plane type III is often the most challenging group of patients. A dual plane type I has got only a limited dissection of the breast tissue off the muscle and is what would be referred to as the classical submuscular plane. Whereas dual plane type II is in between the two.

Therefore, I am sorry to say that dual plane is not a compromise between submuscular and subglandular, it is simply submuscular but called by another name. I am not for a moment suggesting that the dual plane technique is a marketing gimmick because it is a very useful technique and is very well established.

However, I do sometimes hear it being used as if it is somehow better than submuscular because it is in ‘a dual plane’ which somehow sounds better.

Alas it is simply the use of terminology and it remains for you to weigh up the pros and cons of the dual plane or submuscular pocket compared to the subfascial or subglandular pocket.
By all means do your research and ask as many questions as you can think of to help you make a decision about whether you should have your implants on top of or behind the muscle, but do not be blinded or seduced by terminology or a slick sales technique that suggests that one is somehow better than the other.

If you have any questions I am on Facebook live every Tuesday at 7 pm but you can comment on the blog below, or e-mail us.

If you would like a guide on frequently asked questions about breast implants, you can download one below.

Our phone number is 0121 454 3680 and we would always love to hear from you.

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Read more about Breast Augmentation here

Breast Implants & Pregnancy

Have you had breast implants and have now become pregnant?

Or are you thinking about getting breast implants and worried what the effect of pregnancy might have?

Then you are in the right place! Our consultant plastic surgeon Jonathan Staiano has done a vlog to discuss the impact of pregnancy on breast implants. It is nothing to worry about if you do get pregnant once you have implants but it is definitely something to consider before having breast implants as pregnancy does change the breasts.
You can find out more about this here.

If you would like any more information on breast implants you can download our guide here or you can visit our webpage dedicated to implants, which contains before and after pictures, testimonials and further information. You can also call us on 0121 454 3680 or email on info@staianoplasticsurgery.co.uk