Breast

Augmentation and Silicone

Difficulties with Subpectoral Augmentation Mammaplasty and Its Correction: The Role of Subglandular Site Change in Revision Aesthetic Breast Surgery

Lesavoy MA, Trussler AP, Dickinson BP (Univ of California, Los Angeles; Univ of Texas Southwestern Med Ctr, Dallas) Plast Reconstr Surg 125:363-371, 2010^§

R.L. Ruberg, MD

Evidence Ranking

• D

Expert Rating

• 1

Abstract

Background

Difficulties that arise with subpectoral breast implant placement include the following: malpositioning of the implant; improper superior contouring; and unnatural movement with chest muscle contraction. Correction of these deformities is easily achieved by removal of the subpectoral implant, resuspension of the pectoralis major muscle to the chest wall, and reaugmentation with a new implant in the subglandular plane. This study defines a correction modality for the adverse results of subpectoral implant placement in augmentation mammaplasty.