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Dual-plane breast augmentation refers to the placement of a breast implant in a specific anatomic position — partly behind the pectoralis muscle, and partly behind breast tissue. The layers of the breast, from external to internal, are skin, breast tissue, pectoralis muscle and ribs. Plastic surgeons have debated the best plane for implant placement over many decades — some preferring placement between the breast tissue and the muscle (the “subglandular plane”), and others preferring placement between the muscle and the chest wall (the “submuscular plane”). There are advantages and disadvantages to each. The “dual plane” was first described by Dr. John Tebbets in 2001 as a way to combine the advantages of both.
In the dual plane approach, the lower origin of the pectoralis muscle is detached from the chest wall and separated from the lower part of the breast tissue. This allows the muscle to slide upward slightly. When the implant is placed, the upper portion is covered by muscle and breast tissue, while the lower portion is covered by breast tissue alone. The upper muscle coverage of the implant reduces the risk of rippling and implant visibility in the upper part of the breast, capsular contracture, and disruption of cleavage (synmastia), while improving mammography accuracy. At the same time, the lower part of the breast implant that is covered by breast tissue benefits from a smoother implant-breast transition, enhanced shape, and a more natural look and feel.
The dual plane technique comes in very handy in cases of breast deflation with ptosis (sagging), which occurs after having children, breastfeeding, losing weight, or naturally with time. In these cases, a dual plane allows the implant to be placed slightly lower to fill the lower pole of the breast and give a lifted appearance during breast augmentation. This does not replace the need for breast lifting (mastopexy) in moderate to severe cases, but it does occasionally prevent the need for lifting in more mild cases.
Drs. Donaldson and Sieffert prefer dual plane breast augmentation for all of the benefits mentioned here. At Donaldson Plastic Surgery, our patients consistently comment on how proportionate and natural their results look, and how quickly they recover with minimal pain. We’ve used the dual plane approach to help over a thousand patients achieve their goals — safely, predictably and beautifully!
The world may have slowed down, but even in these difficult and unconventional times, you still have your own ambitions and vision for yourself. Donaldson Plastic Surgery has long been an advocate for personal growth and comfort, which is why we have expanded our service offerings to include secure, one-on-one virtual consultations.
Stay at Home orders have been issued, but that doesn’t mean your personal journey has to come to a halt. In fact, you can use this down time to consult with a world-class plastic surgeon, ask any questions you may have and further understand all of your options before finalizing an official date for your procedure.
A Donaldson Plastic Surgery virtual consultation is a completely remote method of connecting patients with our providers to discuss surgical and nonsurgical cosmetic procedures. The virtual consultation format contains all of the components of an in-person consultation, including a discussion of your wants, needs and goals, along with a thorough explanation of your treatment options, the viewing before and after photos and a comprehensive walk-through of information related to scheduling and financing.
Virtual consultations are a completely discreet and secure way to discuss any concerns you may have with a trusted and highly-trained plastic surgeon. You will have a fully-clothed, one-on-one conversation with your surgeon, where you will collaborate to design a plan that is just right for you and your vision.
Everything begins when you submit a request to schedule your virtual consultation – you can also reach us directly by phone at 614-442-7610. Our team will, then, reach out within one business day to answer any questions you might have and to schedule your virtual consultation. You will receive a welcome email that includes an invite for your virtual consultation using GoToMeeting, a secure, HIPAA-compliant video conferencing platform. You will then receive a separate email prompting you to fill out and submit virtual paperwork prior to your consultation, as well as any pictures you wish to include.
On the day of your consultation, you will receive a video conference call inviting you to connect with your provider – and the virtual consult will begin! Make sure you are in a secluded space where you can discuss information freely with your provider. Like an in-person visit, we encourage you to bring any and all questions for your provider to discuss during the virtual consultation.
After your video chat, you will receive a call from our Patient Experience Director Carrie, who will provide an exact quote for the procedure(s) you discuss, as well as financing options and payment plans. She will also talk to you about the process of scheduling your surgery and answer any other questions you might have. Depending on your consultation, we may set up a time for you to come into the office for a second consultation prior to your procedure to complete your surgical plan.
Our patients include mothers and fathers, daughters and sons, all with loved ones they care about protecting and keeping safe from COVID-19. It’s our duty as healthcare providers to adapt to a new way of conducting operations and provide the best possible patient care with the tools available to us.
Our virtual consultations allow us to connect with patients in a sophisticated way, and provide a treatment plan as if the consultation was in-person. Above all else, we want our patients to know they have a safe place to turn when it comes to discussing their aesthetic options.
Performing virtual consultations allows us to be more accessible resources to our community. Especially in times of turmoil, it is important for patients to make educated and sound decisions about their bodies. Even in the midst of COVID-19, the needs of our patients do not dissipate.
We are offering virtual consultations because we want to be able to help educate our patients about their bodies and the changes they are going through, and to remind them that they are not alone. It is our privilege to walk this path together with you.
During the COVID-19 stay home order, I am offering complimentary virtual skin care consultations and analyses for any patient at home wanting to maintain or improve their skin.
At-home skin care is incredibly important during this stressful time, so it is my mission that patients know how to take the best care of themselves. I can show you which products to use, how to use them, and give in-depth explanations of the science of your skin issues to tackle them at the root. My patients are important to me, which is why I would like to offer my expertise to those at home.
Ready to discuss your personal goals with Columbus, Ohio’s top plastic surgeons and leading medical aesthetician? We’re here to make your vision a virtual reality – and it all starts when you send us the first message.
*Earned by Dr. Donaldson