title: Dynamic breasts: a common complication following partial submuscular augmentation and its correction using the muscle-splitting biplane technique.
abstract: BACKGROUND
  Dynamic breast deformity following partial submuscular augmentation is not uncommon. The complication is due primarily to the release of the pectoralis and the true incidence of this complication is not known. The submuscular biplane pocket is a new pocket and is used to correct dynamic breasts following augmentation mammaplasty in the partial submuscular plane.
  
  
  METHODS
  After the first submuscular biplane muscle-splitting augmentation mammaplasty in October 2005, the author has performed 58 secondary augmentation mammaplasties for various reasons. Of these, nine patients showed marked dynamic breast deformity following partial submuscular augmentation and the submuscular muscle-splitting biplane was used to correct this complication.
  
  
  RESULTS
  Good to excellent results were achieved in all patients with complete elimination of the dynamic breast deformity.
  
  
  CONCLUSIONS
  The submuscular biplane is a new and versatile pocket and is used to correct dynamic breast deformity seen following partial submuscular augmentation mammaplasty.
authors.affiliation: Belvedere Private Hospital, Knee Hill Abbeywood, London, SE2 0GD, UK. Mrumarkhan@aol.com
authors.forename: Umar Daraz
authors.initials: UD
authors.lastname: Khan
mesh_terms: D000328:Adult; D018427:Breast Implants; D003286:Contracture / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects* / Q000379:methods*; D011474:Prosthesis Design; D012086:Reoperation