The “Shirt Pocket” Technique—An Alternative for Augmentation-Mastopexy
Augmentation-mastopexy is a frequent procedure with high rates of early recurrence of breast ptosis, mainly after subglandular approach. The dual-plane techniques, based on the cranial dissection of the pectoralis, is the most used, but this plane does not cover the inferior pole of the breast. Then...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2021-09-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1733807 |
| _version_ | 1831763194229555200 |
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| author | Marcus Vinícius Jardini Barbosa Paulo Henrique Costa de Souza Fábio Xerfan Nahas Lydia Masako Ferreira |
| author_facet | Marcus Vinícius Jardini Barbosa Paulo Henrique Costa de Souza Fábio Xerfan Nahas Lydia Masako Ferreira |
| author_sort | Marcus Vinícius Jardini Barbosa |
| collection | DOAJ |
| description | Augmentation-mastopexy is a frequent procedure with high rates of early recurrence of breast ptosis, mainly after subglandular approach. The dual-plane techniques, based on the cranial dissection of the pectoralis, is the most used, but this plane does not cover the inferior pole of the breast. Then, the possibility of a downward dissection of the muscle seems to be more reasonable to retain the implant and improve postoperative results. This study aimed to review the anatomy of the pectoralis in cadavers and the use of its downward dissection to create a pocket for breast implant as a “shirt pocket.” This maneuver was associated with a superior-based dermoglandular flap to overprotect the inferior pole. No complications were related in the postoperative period. The anatomic review showed that the “shirt pocket” is a safe option if done carefully. The technique demonstrated to be feasible and seemed to be effective, being another alternative to prevent early recurrence of breast ptosis in these procedures. |
| first_indexed | 2024-12-22T05:21:56Z |
| format | Article |
| id | doaj.art-9b4a193e89bb42a893b67e537dbd7523 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-22T05:21:56Z |
| publishDate | 2021-09-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-9b4a193e89bb42a893b67e537dbd75232022-12-21T18:37:42ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2021-09-01540336236610.1055/s-0041-1733807The “Shirt Pocket” Technique—An Alternative for Augmentation-MastopexyMarcus Vinícius Jardini Barbosa0Paulo Henrique Costa de Souza1Fábio Xerfan Nahas2Lydia Masako Ferreira3The Morphofunctional Laboratory of the Scholl of Medicine of the University of Franca, São Paulo, BrazilDepartment of Plastic Surgery, Franca, São Paulo, BrazilDivision of Plastic Surgery of the Federal University of São Paulo, São Paulo, BrazilDivision of Plastic Surgery of the Federal University of São Paulo, São Paulo, BrazilAugmentation-mastopexy is a frequent procedure with high rates of early recurrence of breast ptosis, mainly after subglandular approach. The dual-plane techniques, based on the cranial dissection of the pectoralis, is the most used, but this plane does not cover the inferior pole of the breast. Then, the possibility of a downward dissection of the muscle seems to be more reasonable to retain the implant and improve postoperative results. This study aimed to review the anatomy of the pectoralis in cadavers and the use of its downward dissection to create a pocket for breast implant as a “shirt pocket.” This maneuver was associated with a superior-based dermoglandular flap to overprotect the inferior pole. No complications were related in the postoperative period. The anatomic review showed that the “shirt pocket” is a safe option if done carefully. The technique demonstrated to be feasible and seemed to be effective, being another alternative to prevent early recurrence of breast ptosis in these procedures.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1733807breastbreast implantsplastic surgerymammaplastypectoralis muscle |
| spellingShingle | Marcus Vinícius Jardini Barbosa Paulo Henrique Costa de Souza Fábio Xerfan Nahas Lydia Masako Ferreira The “Shirt Pocket” Technique—An Alternative for Augmentation-Mastopexy Indian Journal of Plastic Surgery breast breast implants plastic surgery mammaplasty pectoralis muscle |
| title | The “Shirt Pocket” Technique—An Alternative for Augmentation-Mastopexy |
| title_full | The “Shirt Pocket” Technique—An Alternative for Augmentation-Mastopexy |
| title_fullStr | The “Shirt Pocket” Technique—An Alternative for Augmentation-Mastopexy |
| title_full_unstemmed | The “Shirt Pocket” Technique—An Alternative for Augmentation-Mastopexy |
| title_short | The “Shirt Pocket” Technique—An Alternative for Augmentation-Mastopexy |
| title_sort | shirt pocket technique an alternative for augmentation mastopexy |
| topic | breast breast implants plastic surgery mammaplasty pectoralis muscle |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1733807 |
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