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Abstract BackgroundQuite a few Asian patients prefer axillary incision for breast augmentation. However, this surgery needs improvement. ObjectivesTo introduce a reverse dual-plane technique through a transaxillary approach and compare it with a transaxillary dual-plane approach. MethodsEighty-two patients were divided into Group A (nn ResultsThe NPRS scores of Group B patients were significantly lower than those of Group A patients (PPPP ConclusionsCompared with Tebbetts’ dual plane, this procedure significantly reduced pain, improved breast softness, and eliminated BAD, without increasing complications. Level of Evidence: 4