Breast Envelope Expansion in Augmentation Mammoplasty: Comparative Data Analysis in Submuscular and Subglandular Planes.

Abstract

Aim: Longevity and aesthetic outcome of augmentation mammoplasty partly depends on breast envelope
stability. Changes in breast envelope, on the other hand, are dynamic and depends on the pocket selection. A
retrospective data analysis was done to establish the effects of interaction between implant and its pocket on
breast envelope.
Methods: Augmentation mammoplasty using an inframammary crease incision was selected and retrospective
data of augmentation mammoplasty was retrieved. Each breast was treated as a single unit and data of 2,000
augmented breasts was analysed. Data of preoperative nipple to the marked incision on stretched skin and six
months postoperative nipple to neo IMC measurements changes were analysed when implants were placed in
partial submuscular and subglandular plane.
Results: With a similar mean preoperative marked incision in a stretched skin, postoperative results in partial
submuscular pocket showed less lower pole expansion as compared to subglandular plane.
Conclusion: Skin envelope in a submuscular plane, is supported better when pectoralis enforces posterior wall of
the breast envelope.
is a need of mass awareness and social support of T.B sufferers; and sympathetic attitude of Health Care
Providers.
Key Words: Breast morphometry, Submuscular Biplane Augmentation, Breast Envelope Dynamics.