title: A Modified Dual-plane Technique Using the Serratus Anterior Fascia in Primary Breast Augmentation.
abstract: BACKGROUND
  Breast augmentations are commonly performed aesthetic surgical procedures. As the breast is a changeable structure, the ideal location of an implant would be a plane that can adjust to the dynamic changes of the breast. We present a modified dual-plane technique for breast augmentation using the fascia for thin patients.
  
  
  METHODS
  Between June 2014 and June 2015, 27 patients with small breasts underwent breast augmentation using the modified dual-plane technique. The average age was 29.4 years (range, 20-41 y). The mean body mass index was 18.9 kg/m2(range, 17.6-20.4 kg/m2).
  
  
  RESULTS
  The mean size of the implant was 288.9 ml (range, 255-360 ml) on the right side and 281.6 ml (range, 255-360 ml) on the left side. All the patients returned to daily-life activities within 1 week. There have been no complications during minimum follow-up periods of 18 months. The mean follow-up was 25.6 months (range, 18-36 mo).
  
  
  CONCLUSIONS
  Visible, palpable implants and rippling after breast augmentation with implants are relatively common problems. Our modified dual-plane technique with the serratus anterior fascia can reduce visible rippling and yields a natural-looking breast, especially in thin patients.
authors.affiliation: Department of Plastic Surgery, ID Hospital, Seoul, Korea; and Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul National University Hospital, Seoul, Korea.
authors.forename: Dong Yeon
authors.initials: DY
authors.lastname: Hwang
authors.affiliation: Department of Plastic Surgery, ID Hospital, Seoul, Korea; and Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul National University Hospital, Seoul, Korea.
authors.forename: Sang Hoon
authors.initials: SH
authors.lastname: Park
authors.affiliation: Department of Plastic Surgery, ID Hospital, Seoul, Korea; and Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul National University Hospital, Seoul, Korea.
authors.forename: Sang Wha
authors.initials: SW
authors.lastname: Kim