title: Triplane augmentation mammaplasty.
abstract: BACKGROUND
  Sub-muscular positioning of breast implants requires interrupting as well as disinserting both the abdominal and sterno-chondral fibers of the pectoral muscle; this can produce a muscular strength reduction which reveal bothering and is often detected in some daily motions, such as cutting bread into slices.
  
  
  METHODS
  The revision of anatomy and literature induced the authors to search for a conservative approach for breast augmentation. They describe a new technique defined "Tri-plane" where the muscular fibers are not cut but simply split to create the pocket for breast implants.
  
  
  RESULTS
  Our experience evidenced that this technique gave good aesthetic results together with a more significant projection of the NAC without any strength diminution either in adduction or abduction of the arms.
  
  
  CONCLUSIONS
  This technique is a valid alternative to other techniques of breast augmentation as it conjugates the advantages of sub-glandular and sub-muscular implants without muscular deficit.
authors.forename: Francescosco Stagno
authors.initials: FS
authors.lastname: d'Alcontres
authors.forename: Maria Concetta
authors.initials: MC
authors.lastname: Scarcella
authors.forename: Michele Rosario
authors.initials: MR
authors.lastname: Colonna
authors.forename: Ferdinando Stagno
authors.initials: FS
authors.lastname: d'Alcontres
authors.forename: Flavia
authors.initials: F
authors.lastname: Lupo
mesh_terms: D018427:Breast Implants; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*