Dual-Plane Breast Augmentation

Dr. William J. Koenig specializes 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, Dr. Koenig 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 Dr. Koenig perform their procedures. To learn if you're a good candidate for dual-plane breast augmentation, request a consultation using the online form or call our office at (585) 244-1000 to schedule an appointment.

Before & After Photos

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Dr. William J. Koenig Dr. William J. Koenig

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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What Is Dual-Plane Breast Augmentation?

During a breast augmentation procedure, Dr. Koenig creates a small pocket where he inserts the breast implants. The choice of where to place the implants is one you make after consulting with Dr. Koenig. 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, especially if they choose anatomically shaped cohesive gel implants.

Diagram showing the placement of breast implants

No Implant Subglandular Submuscular

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. Dr. Koenig fine tunes the placement during the operation to ensure the results look natural and attractive.

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 Dr. Koenig 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.


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.

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Quatela 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.

Contact Us

The Lindsay House

973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000

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