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CC BY-NC-ND 4.0 · Indian J Plast Surg 2021; 54(03): 362-366
DOI: 10.1055/s-0041-1733807
Ideas and Innovations

The “Shirt Pocket” Technique—An Alternative for Augmentation-Mastopexy

Marcus Vinícius Jardini Barbosa
1   The Morphofunctional Laboratory of the Scholl of Medicine of the University of Franca, São Paulo, Brazil
,
Paulo Henrique Costa de Souza
2   Department of Plastic Surgery, Franca, São Paulo, Brazil
,
Fábio Xerfan Nahas
3   Division of Plastic Surgery of the Federal University of São Paulo, São Paulo, Brazil
,
Lydia Masako Ferreira
3   Division of Plastic Surgery of the Federal University of São Paulo, São Paulo, Brazil
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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


Publication History

Article published online:
17 September 2021

© 2021. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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