Subcutaneous mastectomy in small, large, or ptotic breasts with immediate submuscular placement of implants

We present a series of 70 patients who have had bilateral subcutaneous mastectomies with immediate placement of implants under the intact pectoralis major and upper part of the serratus anterior. Twenty-two of these patients have had a simultaneous mastopexy, with a free nipple graft. All 70 patients have both of their implants now (up to 3 years) and have a satisfactory appearance.