Aesthetic Plastic Surgery

, Volume 42, Issue 6, pp 1713–1715 | Cite as

Commentary On: Several Opinions on Quantifying Dynamic Deformity after Dual-Plane Breast Augmentation

  • Marcelo Recondo CheffeEmail author
  • Pedro Salomão Piccinini
  • Jorge Diego Valentini
  • Marcus Vinícius Martins Collares
  • Jefferson Luis Braga da Silva
Editor’s Invited Commentary

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

Dear Editor,

We appreciate the authors’ comments on our paper, in which we demonstrate a simple method for quantification of dynamic breast deformity (DBD) following dual-plane breast augmentation (DPBA).

The technique includes the well-known benefits of improved upper and medial implant coverage, decreased rippling and capsular contracture, and excellent versatility, as DPBA can be performed in a wide variety of patients, including those with a slight degree of ptosis, as well as patients with constricted lower poles or tuberous breasts. However, as with any submuscular breast augmentation (BA), there is a risk of animation, or DBD with contraction of the pectoralis major muscle (PMM).

The authors correctly pointed out that...


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.


  1. 1.
    Tebbetts JB (2011) Dual plane breast augmentation: optimizing implant-soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg 107:1255–1272CrossRefGoogle Scholar
  2. 2.
    Baxter RA (2011) Update on the split-muscle technique for breast augmentation: prevention and correction of animation distortion and double-bubble deformity. Aesthet Plast Surg 35:426–429CrossRefGoogle Scholar
  3. 3.
    Ji K, Luan J, Liu C, Mu D, Mu L, Xin M et al (2014) A prospective study of breast dynamic morphological changes after dual-plane augmentation mammaplasty with 3D scanning techniques. PLoS ONE 9(3):e93010CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  • Marcelo Recondo Cheffe
    • 1
    Email author
  • Pedro Salomão Piccinini
    • 2
  • Jorge Diego Valentini
    • 2
  • Marcus Vinícius Martins Collares
    • 3
  • Jefferson Luis Braga da Silva
    • 4
  1. 1.Plastic Surgery DivisionHospital São Lucas (HSL) - Pontifical Catholic University of Rio Grande do Sul (PUCRS)Porto AlegreBrazil
  2. 2.Plastic Surgery DivisionHospital São Lucas - PUCRSPorto AlegreBrazil
  3. 3.Department of Plastic and Craniomaxillofacial SurgeryHospital de Clínicas de Porto Alegre, Federal University of Rio Grande do SulPorto AlegreBrazil
  4. 4.Division of Hand Surgery and Reconstructive MicrosurgeryHospital São Lucas, School of Medicine - PUCRSPorto AlegreBrazil

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