-
Views
-
Cite
Cite
Per Hedén, Commentary on: Functional and Volumetric Analysis of the Pectoralis Major Muscle After Submuscular Breast Augmentation, Aesthetic Surgery Journal, Volume 37, Issue 6, 1 June 2017, Pages 662–664, https://doi.org/10.1093/asj/sjx026
Close - Share Icon Share
Extract
Since Dempsey and Lathan1 introduced submuscular breast augmentation for the first time in 1968, this procedure has been considerably refined and it is still today the dominant way of performing a breast augmentation. In the 1970s, the main reason to use submuscular breast augmentation was because it reduced the frequency of capsular contraction when smooth implants were inserted. In the late 1970s, textured silicone implants were introduced as another way to reduce the very high frequency of capsular contraction noted with smooth implants in the subglandular space. It is well documented that textured implant surfaces reduce capsular contraction in the subglandular space.2 The main reason to avoid submuscular breast augmentation in this early period of breast augmentation was because of the animation deformities created during pectoralis activity. With a full muscle cover, there is a great deal of movement, especially when using smooth implants. With the introduction of dual-plane breast augmentation by Tebbetts in 2001,3 the outcome of submuscular breast augmentation improved greatly.
