Vertical approach to the pectoralis major in breast implant insertion

ABSTRACT

Introduction:

This study demonstrates an alternative method to access the retromuscular space and avoid undesirable effects caused by breast implant insertion in this space.

Methods:

We evaluated 328 female patients, aged 17 to 62 years, with complaints of micromastia and bilateral ptosis. All patients underwent insertion of bilateral implants using a vertical incision in the pectoralis major. Follow-up was performed for at least 6 months.

Results:

The technique of vertical incision in the pectoralis major increases the options for access to the retromuscular space in breast implant insertion. This method successfully achieves appropriate positioning of the implant and avoids additional scars.

Conclusions:

The technique proved to be effective, avoiding scars and the double-bubble effect, and increases the options for access to the retromuscular space.

Keywords:
Mammary implants; Prostheses and implants; Mammoplasty; Breast; Reconstructive surgical procedures