Intramuscular Breast Augmentation in Secondary Mastopexy Augmentation.

Background: Breast augmentation with implants is one of the most performed aesthetic surgical procedures performed worldwide. The authors describe a new option for breast implant secondary procedures, the intra-pectoralis major pocket, as a feasible and reproducible surgical technique.

Methods: A retrospective chart review was conducted on all patients who underwent a revision augmentation or mastopexy augmentation procedure between 2005 and 2022 performed by the senior author (R.M.G.). The intramuscular pocket is dissected between the pectoralis muscle fascicles where it is almost not bleeding.

Results: Patients were followed up for an average of 21.5 months. A total of 319 patients underwent revisionary breast augmentation/mastopexy performed by the senior author (R.M.G.). Indications for reoperation were based both on specific patient dissatisfaction with their original surgery and the surgeon's physical examination and assessment. In 196 cases, the authors performed the intramuscular pocket technique. None of the intramuscular pockets had capsular contracture or animation deformity in the follow-up period.

Conclusion: The intramuscular pocket technique is a valuable and safe technique for secondary breast augmentation.

Clinical Question/level Of Evidence: Therapeutic, IV.