Intramuscular Breast Augmentation in Secondary Mastopexy Augmentation

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Surgical Techniques

Background:

• Breast augmentation is a common global aesthetic procedure.
• Revisionary breast augmentation addresses patient dissatisfaction or surgical assessment findings.
• The intra-pectoralis major pocket is presented as a novel surgical option for secondary breast procedures.

Purpose of the Study:

• To evaluate the feasibility and reproducibility of the intra-pectoralis major pocket technique for secondary breast augmentation.
• To assess the safety and outcomes of this technique in revisionary breast augmentation and mastopexy procedures.

Main Methods:

• A retrospective chart review of 319 patients undergoing revision augmentation or mastopexy augmentation between 2005 and 2022.
• The intra-pectoralis major pocket technique was performed in 196 cases, involving dissection between pectoralis muscle fascicles.
• Patient follow-up averaged 21.5 months.

Main Results:

• The intra-pectoralis major pocket technique demonstrated minimal bleeding during dissection.
• None of the 196 patients who received the intramuscular pocket experienced capsular contracture.
• No animation deformities were observed in patients utilizing the intramuscular pocket technique during the follow-up period.

Conclusions:

• The intra-pectoralis major pocket technique is a valuable and safe surgical option for secondary breast augmentation.
• This technique offers a reproducible approach with favorable outcomes in revisionary breast procedures.