|  Quadruplane (2+2)  composite silicone implant and fat grafting 
holistic personal technique".
 in 2010 we designed 
our personal approach to the issue of breast enlargement as “triple plane composite technique”  In our technique we 
propose a combination of the three most popular techniques used by the majority 
of plastic surgeons today: i.e. the subglandular or the submuscular placement of 
a suitable silicone implant and the optimising use of fat grafting. We use all 
variations of the dual plane technique. By this particular technique we combine 
the dual plane approach for the central [glandular] part of the operated breast 
and the fat tissue aspirate for the peripherical parts of the breast where there 
was no gland before the augmentation or reconstruction [upper, inner & lower 
poles, cleavage, and lateral projection]. We harvest the fat tissue from 
aesthetically problematic areas using standard technique and simple decantation 
and immediately reinsert it in the host areas using multiple microtunnels for 
the reinjection. With our method we achieve an overall take rate of the fatty tissue of more than 
50%.
 
 We named this technique as "triple plane-no pain composite holistic 
silicone implant and fat grafting technique for breast augmentation" because It consists of the optimum COMBINATION OF THE USE OF BOTH CERTIFIED TECHNIQUES OF BREAST ENLARGEMENT WITH IMPLANTS AND FAT.
 
 Then we thought that other aesthetic desires of our female patients such as a brazilian buttock lift  could be safely served at the same time and in one operation. When we use the aspirated fat tissue only 
for reinjection in the chest arround the breast,  we refer to this technique as {triplane (triple 
plane) “2+1” composite technique}.
 W
 hen we also perform associated brazilian 
gluteoplasty through gluteal liposculpture and buttock lift, as  {quadruplane 
“2+2”  holistic technique }.
 
 The medical and artistic goals 
of a successful breast augmentation plastic operation in selected cases of very 
slim patients with non existent or unshaped or asymmetric breasts associated with 
hemi-thoracic atrophy or scaphoid pectoral thorax and localized fat accumulation 
deformities in the waist, gluteal or abdominal areas can be better achieved by 
the use of this approach, as we believe that our particular strategies can lead 
to a result which will fulfil all eight characteristics of a beautifully 
augmented breast and of a harmonious body silhouette contour in one 
sole operation: size, shape, position, symmetry, firmness, tissue coverage of 
the foreign body, harmony and safety.
 
 In 
2013 we first presented the "triple plane personal 2+1  technique"  during a scientific debate at the 10th National Hellenic 
Congress of plastic surgery in Athens, Greece.  In 2014 we presented our first 
results at the XXVIII European Federation Congress of the International College 
of Surgeons and at the 3rd Monaco World Congress of Plastic Surgery and in 2015 
at the 11th National Hellenic Congress of Plastic Surgery.
 
 The quadruplane 2+2 personal technique will be first presented in 2016 at the 4th Monaco World Congress of plastic surgery.
 
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