Age 25
3 children
Implants CUI, round, textured, very high profile, silicone gel
Size 380g
Under the muscle with dual plane technique
Incisions under the breast

A difficult case. The patient has empty, sagging breasts with thin stretched breast tissue. She was borderline for having a breast lift but wished to avoid the extra scars of a lift. If the implant is put behind the muscle in this type of breast, the breast tissue may still hang down away from the implant, the so-called “Snoopy” effect because it can look like Snoopy in profile. This occurs because when the muscle is in between the implant and the nipple the lifting “bucket handle effect” is reduced. Therefore the nipple may still hang down. This can be avoided by putting the implant in front of the muscle but, in this patient, rippling might well then occur because the top of the implant would only be covered by her thin, stretched breast tissue. This patient’s best option was a special technique called “dual plane”. This is where the implant ends up with the top half covered by the muscle, ( reducing excessive roundness and rippling) and the bottom half in front of the muscle (allowing the bucket handle effect to “lift” the nipple and avoid the Snoopy look).

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