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DR. Greg Ratliff, FACS &
DR. BRENDA SCHIESEL

Board Certified, American Board of Plastic Surgery

(918) 712-0888

Plastic Surgery Center of Tulsa


2107 E 15th St. Tulsa, OK 74104


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Tell me about dual plane placement of implants

The question is about dual plane placement of implants. Because everybody says, “under muscle, and over muscle.” In reality, an under muscle implant is always a dual plane implant. The pectoralis muscle, the edge of the muscle ends from the corner up here on your shoulder down here to where it hits the ribs, and so the muscle is basically a big triangle.

The implant, at least half of it, if not two thirds of it, sticks out from under the edge of that muscle no matter what you do, so it's always dual plane in that it's under muscle for part of it over muscle, or over ribs, with no muscle coverage.

There is a technique where, in the process of the section, you take the muscle loose to various levels up in the breast that will allow the implant to push and help elevate a slightly low nipple that may avoid a lift. And that dual plane, there's a dual plane one, two and three, there's different levels, different ways to do the dissection but it's the difference between under muscle and over muscle is part of that. How much you dissect up is what determines the lift of the nipple and that may be why you get a dual plane.

Professional memberships & Recognition for Dr. Greg Ratliff

LEAD Council Award 2016 Member, American Society of Plastic Surgeons Member, American Society of Aesthetic Plastic Surgeons Fellow, American College of Surgeons Continuing Education, The Osler Institute

Professional memberships & Recognition for Plastic Surgery Center of Tulsa, Dr. Greg Ratliff and Dr. Brenda Schiesel

Certified by the American Board of Plastic Surgery AAAASF Accreditation AAASFI Accreditation Best of Tulsa World 2016 TulsaPeople Readers' Choice 2017 Better Business Bureau Rating A+