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Subpectoral Breast Augmentation Through the Abdominoplasty Incision

Rinker, Brian MD; Jack, Jason M. MD

doi: 10.1097/
Original Article

Abdominoplasty and breast augmentation are often performed together, and subglandular augmentation through the abdominoplasty incision has been previously described. Nine cases of subpectoral breast augmentation and abdominoplasty performed through a single low transverse abdominal incision were performed between 2002 and 2005. The selection criteria included women who were healthy, nonsmokers, without true breast ptosis or breast deformity requiring additional shaping. The subpectoral space was accessed and the pectoralis major origins were mobilized under direct vision, and the implant pocket was shaped with the aid of a breast sizer and breast dissector. The mean follow-up was 22 months. The surgical goals were realized in all cases, with no asymmetry or implant-related complications. The standard abdominoplasty incision provides ample exposure for the creation of a subpectoral pocket and precise placement of implants. The procedure should be considered in patients who wish abdominal recontouring and breast augmentation and have minimal ptosis.

Nine subpectoral breast augmentations were performed through the low transverse abdominal incision of an abdominoplasty. Implant pocket dissection was performed under direct vision, and no complications were seen over a mean 22-month follow-up.

From the Division of Plastic Surgery, University of Kentucky, Lexington, KY.

Received July 19, 2006 and accepted for publication July 22, 2006.

Presented at the Annual Meeting of the Southeastern Society of Plastic and Reconstructive Surgeons, The Cloisters, Sea Island, GA, June 3–7, 2006.

Reprints: Brian Rinker, MD, Assistant Professor, Division of Plastic Surgery, University of Kentucky, Kentucky Clinic, K454, Lexington, KY 40536-0284. E-mail:

© 2007 Lippincott Williams & Wilkins, Inc.