11/14/2025
Let’s talk implant placement (or “planes” as we Plastic Surgeons call it!) ↓
There are 4 typical “planes” for implants:
1. Submuscular – what it sounds like! Underneath the pectoralis major muscle. I most commonly do a “total submuscular approach” because there is less risk of capsular contracture (thick scar tissue around the implant) and there is more support for the implant over time.
2. Subglandular – “on top of the muscle.” I rarely utilize this plane as there can be increased risk of capsular contracture (thick scar tissue around the implant) and not a lot of support over time – the opposite of submuscular!
3. Subfascial – this is my go-to alternative for patients who are not great candidates for the implant underneath the muscle. This is for patients who do not want their muscle cut, or anything underneath this muscle. Most commonly, this is patients who are very focused on working out, specifically weightlifting. With the subfascial approach, you do not have to modify your chest exercises (i.e. bench press, butterfly, etc).
4. Dual plane – this is where it gets a bit confusing! This was invented by a plastic surgeon named Dr. John Tebbets and has become very popular. The top of the implant is under the muscle, and the bottom of the implant is underneath the breast gland. I do not routinely do this approach as instead of giving the “best of both worlds,” it can also be associated with the less-desirable effects of each approach.
Questions? Send me a DM or comment below 🤍