Dual Plane Breast Augmentation
Our board-certified plastic surgeons specialize in breast augmentation using a dual-plane placement of the implants. At our Rochester, NY, practice, many breast augmentation patients also want a subtle lift without the additional incisions required for a breast lift procedure. If the breast skin retains most of its elasticity and the breasts sag only slightly, our surgeons can produce a “virtual lift” through the use of the dual-plane technique.
Women considering breast augmentation travel from Buffalo and Syracuse, NY, to the Quatela Center for Plastic Surgery to have our plastic surgeons perform their procedures. To learn if you’re a good candidate for dual-plane breast augmentation, request your consultation using the online form or call our office at (585) 244-1000 to schedule an appointment.
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Dual Plane Breast Augmentation Before & After Photos
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Keep in mind that each patient is unique and your results may vary.
Keep in mind that each patient is unique and your results may vary.
What Is Dual-Plane Breast Augmentation?
During a breast augmentation procedure, your plastic surgeon creates a small pocket in which to insert the breast implants. The choice of where to place the implants is one you make during your consultation. The 2 most common options are:
- Subglandular: This refers to implants placed behind the existing breast tissue, but above the pectoral muscles. This is a good option for patients who have enough existing breast tissue to camouflage the edges of the implants, or patients who desire more fullness in the upper area of the breasts.
- Submuscular: Patients with smaller breasts and little existing breast tissue are good candidates for placing implants behind the pectoral muscles. Many women believe this provides results that look and feel more natural.

No ImplantSubglandularSubmuscular
The dual-plane breast augmentation involves placing the upper portion of the implants in the submuscular plane, while the lower part is in the subglandular plane. Your surgeon fine tunes the placement during the operation to ensure the results look natural and attractive.
Your Guide to Breast Augmentation
Want to learn more about breast implants and breast augmentation? Download our free eBook, Your Guide to Breast Augmentation Surgery, for a comprehensive overview of the most important aspects of breast implant surgery. Topics in our eGuide include breast implant size, shape, and material, incision site, implant placement, risks and complications, plus a handy surgery prep list.
Submit the form below to receive a link to our free eGuide.

Good Candidates for Dual-Plane Breast Augmentation
Dual-plane breast augmentation is usually a good option if you have lost weight, especially after being pregnant. By releasing the pectoral muscle from its attachment to the base of the breast at the inframammary fold, the muscle actually lifts the breast gland. The implant then fills in the space behind the muscle and extends below it, creating a slope that resembles the natural shape of a mature breast.
The major advantage is that the surgeon only has to make the incisions necessary for the augmentation, avoiding the more conspicuous incisions needed for a breast lift. All patients who undergo dual-plane breast augmentation are counseled that a breast lift may be necessary in the near or distant future if the breast shape is not desirable. Dr. Koenig has had to perform breast lifts in less than 5% of our dual-plane breast augmentation patients.
Recovery After Dual-Plane Breast Augmentation
The recovery following dual-plane breast augmentation is no different than recovering following breast augmentation using other techniques. We recommend planning to take about a week off of work, if possible, although some patients may return after three to four days depending on the physical nature of their jobs.

William j. Koenig, M.D.
Specializes in Breast & Body Procedures
A board-certified plastic surgeon, Dr. Koenig's experience and gentle bedside manner help put patients at ease and build an uncommon level of trust. He meticulously customizes each procedure, and sculpts beautiful results that consistently exceed his patients' expectations.
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Ashley N. Amalfi, M.D.
Specializes in Breast & Body Procedures
Recognizing the unique goals and desires of each of her patients, Dr. Amalfi uses her attention to detail and experience to create personalized surgical outcomes for her patients. A board-certified plastic surgeon, she specializes in cosmetic and reconstructive breast and body procedures.
Read OnQuatela Center
for Plastic Surgery
The Quatela Center's reputation as one of New York's finest cosmetic plastic surgery practices attracts patients to Rochester from throughout the state. Choose one of the locations below for driving directions to our practice.