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A technique to decrease breast shape deformity during muscle contraction in submuscular augmentation mammaplasty.

Mario Pelle-Ceravolo1, Aldo Del Vescovo, Ettore Bertozzi

  • 1Nostra Signora della Mercede Hospital, 35 via G. Severano, 00161 Rome, Italy. mario.pelleceravolo@libero.it

Aesthetic Plastic Surgery
|January 25, 2005
PubMed
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This study introduces a surgical technique variation to reduce breast shape distortion after augmentation mammoplasty. The modified procedure effectively decreased dynamic deformity caused by pectoralis muscle contraction.

Area of Science:

  • Plastic Surgery
  • Surgical Techniques
  • Breast Augmentation

Background:

  • Submuscular augmentation mammaplasty can lead to breast shape distortion during pectoralis muscle contraction.
  • Dynamic deformity is a common and aesthetically concerning complication.
  • Existing techniques may not fully address this issue.

Purpose of the Study:

  • To present and evaluate a modified surgical technique for retromuscular augmentation mammoplasty.
  • To decrease breast shape distortion during pectoralis muscle contraction.
  • To reduce the upward displacement of breast implants during muscle activity.

Main Methods:

  • A cohort of 348 patients undergoing retromuscular augmentation mammoplasty was followed.
  • A novel surgical technique involving specific muscle and tissue manipulation was performed on 46 patients.

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  • 302 patients underwent a standard technique for comparison.
  • Evaluation relied on clinical judgments by the surgeon, nurse, and patient.

    • Main Results:

    • The modified technique demonstrated a significant decrease in dynamic deformity.
    • Reduced upward pushing of the implant during pectoralis muscle contraction was observed.
    • Improved tissue stretch was noted in patients with tighter breast envelopes.

    Conclusions:

    • The described technical variation effectively mitigates dynamic deformity in augmentation mammaplasty.
    • This approach offers a potential solution for a common and disturbing collateral effect.
    • Clinical judgments suggest the technique's efficacy despite the absence of objective measurements.