Background: Breast augmentation is the one of the most frequently performed aesthetic surgical procedures in the world. The most important preoperative decisions with influence on the final appearance of the augmented breast are the breast implant pocket choice and selection of the most appropriate implant. Described pocket locations are subglandular , subfascial, partial retropectoral, total submuscular and dual plane. Objectives: We introduced new method of pocket forming/location for implant placement, which is combination of Tebbett’s dual-plane 2 or 3 and Graf ’s subfascial. Matherial and Methods: Between January 2016 and April 2019, 36 patients were operated using dual plane subfascial breast augmentation. Pinch test in medial pole less than 2,0 cm and in upper pole less than 2,5 cm are indications for this technique. In our modification, dissected flap in front of the muscle is fasciocutaneous and it provides better coverage especially in thin patient with small amount of subcutaneous fat. Results: Hematoma and infection didn’t occur in any patient from our study. In two patients occur a capsular contracture gradus I/II without the need for reoperation. Palpability of implants is recorded in three patients. Conclusion: Dual plane subfascial is good option in primary and secondary breast augmentation with a well set indication especially in the breasts with the upper pinch test less than 20 mm. Key words: dual plane subfascial , implant placement, new method.
Specialist in General Surgery and Plastic, Reconstructive and Aesthetic Surgery. Reuf Karabeg was born in Bugojno In 2000, he was appointed Head of the Fist Surgery Department at the Clinic for Plastic and Reconstructive Surgery at the Clinical Center in Sarajevo I n 2009 - Appointed Head of the Clinic for Plastic and Reconstructive Surgery at the Clinical Center of the University of Sarajevo. Elected President of the Balkan Association of Plastic, Reconstructive and Aesthetic Surgeons for the period 2009-2011. Elected President of the Organizing Committee of the 7th Balkan Congress of the Association of Plastic, Reconstructive and Aesthetic Surgeons to be held in September 2011 in Sarajevo. In 2013 - Elected as the first president of the Association / Association of Plastic, Reconstructive and Aesthetic Surgeons / Surgeons in BiH, which office he still holds today. (Biography updated July 2015). In 2014 - Assistant Professor Reuf Karabeg, PhD, was promoted to academic title Associate Professor at the Faculty of Medicine in Sarajevo, course SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY. December 2014. The book Fundamentals of Plastic, Reconstructive and Aesthetic Surgery, published by the Faculty of Medicine, University of Sarajevo, has been promoted. The book was written by, along with Professor Reuf Karabeg, as author and editor, 22 more prominent experts from Croatia, Serbia, Slovenia, BiH and the USA. It is the first textbook for students of medicine and dentistry, but also a manual for specialists in related specialties. 2011th to 2015th participates as part of the team and head of the Clinic for Reconstructive and Plastic Surgery of the University Clinical Center Sarajevo for five years in the humanitarian campaign of Euromelanom BiH, an action of free examinations and surgeries, which are held in BiH and 30 countries of Europe. September 2015 Dubrovnik-Croatia. As Vice President of Congress and a member of the Organizing Committee of the 2nd Congress of Fellows of Science and the Xth Jubilee Croatian Congress of Plastic, Reconstructive and Aesthetic Circuits, he will be present and present 2 papers (one in aesthetic surgery and one in tumor-melanoma surgery) as an invited lecturer. Professor Reuf Karabeg has published over 63 papers in reference journals and / or presented at congresses worldwide 2016 got employed at the Karabeg Surgical Clinic; He has published in referenced journals and/or presented at congresses over 75 papers all over the world