Abstract
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.
Keywords
breast - breast implants - plastic surgery - mammaplasty - pectoralis muscle
