In Plane Sight: The Subfascial, Fact or Fiction Friday, October 10 Fri, Oct 10 8:00-9:30 a.m. CDT

This comprehensive session offers an in-depth exploration of the anatomical nuances and surgical strategies behind implant placement in breast augmentation. Designed for surgeons seeking to refine their technical decision-making, the session will clarify terminology and highlight the key differences among sub-glandular, subfascial, pre pectoral, submuscular, and dual-plane approaches. Faculty will examine the indications, benefits, and limitations of each plane, with special emphasis on patient selection, soft tissue evaluation, and aesthetic goals. Attendees will gain a deeper understanding of breast anatomy, including fascial planes and the role of pectoralis major, while also addressing the use of biologic and synthetic scaffolds in cases of thin tissue coverage or revision. Through discussion of technical tips, complication management, and outcome optimization, participants will leave with practical strategies for safe, reliable, and individualized surgical planning in implant-based breast surgery.

Upon completion of this learning activity, participants should be able to:

1. Define and distinguish the anatomical terminology related to implant placement planes, including subglandular, subfascial, prepectoral, submuscular, and dual-plane positions.
2. Describe the indications, advantages, and limitations of various implant placement techniques, including subglandular, subfascial, prepectoral, and dual-plane augmentation.
3. Demonstrate a detailed understanding of breast anatomy, including fascial layers and pectoralis major structure, and the significance of soft tissue coverage.
4. Outline best practices for dual-plane breast augmentation, including patient selection, procedural steps, and methods to enhance outcomes and reduce complications.
5. Explain safe and effective techniques for subfascial breast augmentation, with and without the use of ADM, mesh, or other soft tissue reinforcement.
6. Compare implant placement strategies across tissue planes and assess the role of biologic or synthetic scaffolds in patients with thin envelopes or revision cases.
7. Identify and manage common complications such as implant malposition, rippling, animation deformity, and capsular contracture, using preventative and corrective approaches.