Dual plane pocket is a second level but still good placement to perform breast augmentation and implants insertion, either from a technical point of view regarding safety, the medical side for the patient's future options and the aesthetic outcomes; the breast implants are covered at their upper part by the pectoralis muscle being the rest under the mammary gland.
Its main disadvantages are the higher aggressiveness and invasiveness, prone to much bruising and hematoma, slight blood loss, longer surgical time, later hospital discharge overnight, higher hospital fees, need to use suction drain tubes, very hard postoperative period, very high level of postoperative pain, high and higher compared to other techniques rate of postoperative complications like bleeding, infection, capsular contracture, animation flex deformity, etc, impossible to achieve impressively close and full intermammary cleavages, does not allow unlimited size increases and many others making this plane of placement the second choice of indication for breast implants surgery of any kind and a not specifically recommended one in revision mammoplasties.
As only advantage it might be the of suitable training by most surgeons since it is an old technique are more widely spread, even though the subfascial one is not a recent one since is exists since early 2000s.
Pregnancy, breast feeding, mammograms, ultrasound, breast examination and biopsies are perfectly compatible with this technique and equally efficient; it is compatible with augmentation mammoplasties, breast lift mastopexies, reduction mammoplasties, the tuberous mammoplasty, revision mammoplasties and reconstructive mammoplasties.
Aesthetic results of the augmentation mammoplasty will not depend on the technique for plane of placement, being equivalent between the different technical options, but on the surgeons skills and patients anatomy in first place, and secondarily from the model of implants chosen; however the technique for plane of placement may make likely or prevent a series of serious complications and cause either comfortable or suffering postoperative recovery of longer or shorter duration.