When I flex the pectoral muscle indents into the breast creating a deformed look. I was told breast have bottomed out and one has capsular contraction also needing a lift. Can this be fixed in one revision surgery ?
June 27, 2014
Answer: Pectoral muscle indents when I flex ,can it be fixed? What caused it? You have a typical double bubble deformity.I usually repair these by returning the muscle to it original position, and placing the implant sub-pectorally.
Helpful 1 person found this helpful
June 27, 2014
Answer: Pectoral muscle indents when I flex ,can it be fixed? What caused it? You have a typical double bubble deformity.I usually repair these by returning the muscle to it original position, and placing the implant sub-pectorally.
Helpful 1 person found this helpful
Answer: Pectoral muscle indents and revision I consider it a myth that this double-bubble deformity is caused by the old inframammary crease. As most of the responses I see indicate, the problem is caused by the detachment of the lower edge of the pectoralis muscle in order to create a pocket beneath it. If the muscle edge is not properly released and defunctionalized in the lower pole of the breast it can become attached to the fascia, breast, or capsule above it and cause a deformity when the muscle is flexed. The dual-plane release for breast augmentation is designed to avoid or minimize this situation.One suggestion as I think Dr. Becker was suggesting was to convert the pocket for the implant to a position above the pectoralis muscle. If the implant is left in the subpectoral position (the best overall choice) then the pectoralis muscle has to be resected out the of the lower pole of the breast up to the level of the nipple. Aside from capsule contracture problems, this is the best solution with a revision. A "lift" of the breast/nipple-areola is not needed. Another solution is to replace the muscle and the capsule in the lower pole of the breast with a dermal graft which seems to address both the muscle problem as well as the risk of capsule contracture.
Helpful 1 person found this helpful
Answer: Pectoral muscle indents and revision I consider it a myth that this double-bubble deformity is caused by the old inframammary crease. As most of the responses I see indicate, the problem is caused by the detachment of the lower edge of the pectoralis muscle in order to create a pocket beneath it. If the muscle edge is not properly released and defunctionalized in the lower pole of the breast it can become attached to the fascia, breast, or capsule above it and cause a deformity when the muscle is flexed. The dual-plane release for breast augmentation is designed to avoid or minimize this situation.One suggestion as I think Dr. Becker was suggesting was to convert the pocket for the implant to a position above the pectoralis muscle. If the implant is left in the subpectoral position (the best overall choice) then the pectoralis muscle has to be resected out the of the lower pole of the breast up to the level of the nipple. Aside from capsule contracture problems, this is the best solution with a revision. A "lift" of the breast/nipple-areola is not needed. Another solution is to replace the muscle and the capsule in the lower pole of the breast with a dermal graft which seems to address both the muscle problem as well as the risk of capsule contracture.
Helpful 1 person found this helpful
