[The breast augmentation using original method of submuscular placement of implants]

The experience of application of original method, concerning submuscular implants placement, elaborated by the authors, was presented. In 2006 - 2009 yrs the augmenting mammoplasty was performed in 26 women, ageing 23 - 43 yrs old. The operation was performed under general anesthesia, using inframammarial access. The texturated implants, filled by cohesive silicone gel, were applied. In 22 patients the results of operation was good and in 4 - fair. An adequate coverage of the implant by soft tissues in the lower and upper parts of breast was achieved in these observations. Vertical myotomy had secured the necessary weakening of m. pectoralis major and guaranteed from possible dislocation of the implant. Medial and lateral flaps of the muscle had securely covered the implant in medial and lateral parts of breast. The implant support was secured by application of lower myofascial flap in a fashion of a suspender for the ptosis prophilaxis and for secure coverage of the lower edge, making impossible its detection using palpation.