Arch Plast Surg.  2020 Mar;47(2):160-164. 10.5999/aps.2019.00906.

Attachment distribution of pectoral muscle origins identified in dual-plane breast implant insertion

• Nam SB
• Song KH
• Seo JY
• Choi JS
• Park TS
• Lee JW
• Kim JH
• Kim MW
• Kim HY
• Jung YJ
• Kim C

• KMID: 2501155
• DOI: http://doi.org/10.5999/aps.2019.00906

Abstract

Background
Implant-based dual-plane augmentation mammoplasty requires accurate separation of the pectoralis major muscle (PMM) at its origins. The authors identified the PMM origins during breast reconstruction surgery with the goal of providing additional information on subpectoral implant insertion for reconstructive or aesthetic purposes.
Methods
This study was conducted on 67 patients who underwent breast reconstruction surgery at the breast center of our hospital between November 2016 and June 2018. In total, 34 left and 39 right hemithoraces were examined. The left and right hemithoraces were each divided into 15 zones to determine the percentage of PMM attachments in each zone. The distribution of PMM origins in each zone was examined to identify any statistically significant differences.
Results
There were no statistically significant differences in the origins of the PMM between the right and left hemithoraces. The percentage of attachments increased moving from the fourth to the sixth rib and from the lateral to the medial aspect.
Conclusions
The anatomical findings of this study could be used as a reference for accurate dissection of the origins of the PMM for the preparation of the subpectoral pocket for subpectoral implant placement.

Keyword

Pectoralis muscle; Anatomy; Breast