The Laminated Nature of the Pectoralis Major Muscle and the Redefinition of the Inframammary Fold: Clinical Implications in Aesthetic and Reconstructive Breast Surgery

The breast is appreciated aesthetically and clinically for its shape, projection, and volume. Surgical techniques have evolved to manipulate the breast skin envelope, soft tissues, and chest wall anatomy, with and without prosthetic devices. The pectoralis major specifically is altered for pocket di...

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Bibliographic Details
Published inClinics in plastic surgery Vol. 42; no. 4; p. 465
Main Authors Maclin, 2nd, Melvin M, Deigni, Olivier A, Bengtson, Bradley P
Format Journal Article
LanguageEnglish
Published United States 01.10.2015
Subjects
Breast - anatomy & histology
Breast - surgery
Breast Implantation
Dissection
Esthetics
Female
Humans
Mammaplasty - methods
Pectoralis Muscles - anatomy & histology
Pectoralis Muscles - surgery
Thoracic Wall - anatomy & histology
Thoracic Wall - surgery
Breast augmentation
Inframammary fold
Breast inflection points
Breast reconstruction
Acellular dermal matrix
Subpectoral augmentation
Pectoralis major muscle
Chest wall anatomy
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Summary:The breast is appreciated aesthetically and clinically for its shape, projection, and volume. Surgical techniques have evolved to manipulate the breast skin envelope, soft tissues, and chest wall anatomy, with and without prosthetic devices. The pectoralis major specifically is altered for pocket dissection and implant coverage. Both the aesthetic and reconstructive surgeons are aware of its relationship to the chest wall and the breast soft tissues. Both are able to achieve outstanding outcomes; however, the authors present an alternative appreciation of the pectoralis and its relationship to the breast.
ISSN:1558-0504
DOI:10.1016/j.cps.2015.06.011