Why The Triple Plane Procedure Is The New Go-To

In the world of breast augmentation, there are three traditional methods for placing surgical implants: over-the-muscle (subglandular), under the muscle (subpectoral), and complete submuscular (complete subpectoral). These three methods have been effective for millions of women who received a breast augmentation. For others, problems like capsular contracture, rippling and wrinkling, interference with mammograms, and implant migration have caused monetary damage and emotional distress.

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Luckily, these three methods are no longer the only successful technique for breast augmentation. A procedure called the triple plane procedure solves the common problems of breast augmentation by placing the implant in a different position and manipulating the muscle. This means major changes in the world of breast augmentation and fewer complications for implant patients.

How It Works

Dr. Lawrence Gray of the Atlantic Plastic Surgery Center explains that, “the procedure is primarily submuscular. A portion of the muscle is cut, which helps stop the muscle from distorting and the implant from migrating.” This means that patients can still exercise and perform their regular activities (after the breasts have fully healed) without worrying about implant deformities.

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The result? The triple plane technique maximizes the benefits of the submuscular procedures and stops common deformities.


Dr. Gray also stated that the new procedure does not obscure the results of mammograms, making it easier to test for breast cancer. In more traditional implant procedures, the breast tissue can be obscured by the implant. This is especially a problem when implants are placed over the muscle. Because the triple plane procedure is primarily submuscular, most of this risk is taken away. “That is one of the reasons I like it,” Gray concluded.

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The triple plane procedure can also reduce implant migrations, which occurs during some submuscular implant procedures. “The implant can move when the patient has engaged in activities such as working out at the gym,” Gray explains. The triple plane procedure reduces this risk by cutting the part of the muscle known to cause the implant to migrate.

Even better: these results are not temporary. Studies on these implants show that these results last over time, and do not need any more maintenance than a regular implant.  


If you are considering the triple plane technique for your breast augmentation, consider:

  • Getting silicone implants. “Saline tends to wrinkle,” Dr. Gray said, “[and] silicone’s a better product with a better guarantee.” While saline implant manufacturers will only cover around $1,200 in damage due to a leakage, Gray informed me, silicone companies will cover up to about $3,500 in expenses.
  • Getting a longer sick leave. While this procedure will be better in the long run, the pain after the procedure can be greater than the over-the-muscle procedure.

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