V-Plane. Method of forming a bed for breast implants in augmentation mammoplasty

Augmentation mammoplasty is considered the most popular type of plastic surgery in the world. However, the incidence of unsatisfactory aesthetic consequences of the operations is still high. Breast volume is increased by implanting special medical devices into the mammary gland area - mammary endoprostheses, which are produced in the form of sealed silicone capsules of different shapes, volumes and densities, filled with saline, silicone or biogel. Implants can be of the following shapes: round, teardrop-shaped (anatomical). The generally accepted standards for the positioning and placement of mammary endoprostheses in the mammary gland area are the following options: subglandular - under the glandular tissue of the mammary gland; subfascial - in the space between the posterior leaflet of the mammary gland capsule and the pectoralis major muscle; submuscular - the implant is placed under the pectoralis major muscle; biplane placement - the upper part of the implant is located under the pectoralis major muscle, and the lower part - under the glandular tissue. An important task in carrying out augmentation mammoplasty is the formation of a bed that ensures reliable and stable positioning of the mammary endoprosthesis on the chest wall relative to the mammary gland spot. The goal of our method is to increase the aesthetic effectiveness of the operation and reduce the frequency of postoperative complications. The essence of the technique is as follows. A V-shaped two-flap composite bed is formed from the pectoralis major muscle, which allows to reduce and prevent the following possible types of complications: insufficiency of integumentary tissues (wave deformation, contouring); lateralization of the mammary endoprosthesis; displacement of the implant below the submammary fold; animation deformation; violation of anatomy (myotomy of the pectoralis major muscle).