PMC3440140_01
This intraoperative photograph of the left breast (a) demonstrates the aberrant pectoralis accessory muscle, the oblique pectoralis anterior, with its fibers perpendicular (b) to the underlying pectorals major muscle.
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PMC3440140_01_eplasty12e44_fig1.jpg
F1
The fibers of this extra muscle were oriented obliquely and in the perpendicular direction to the underlying pectoralis muscle (see Fig 1).
This photograph demonstrates the patient after her last expansion prior to the expander to implant exchange. Notice the small bandage over the port.
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PMC3440140_01_eplasty12e44_fig2.jpg
F2
The total amount of left expander fill at this point was 540 cc. (see Fig 2).
This photograph demonstrates the patient after expander to implant exchange. The permanent implant was placed under both the oblique pectoralis anterior and pectoralis major muscles. A 600 cc high-profile mentor memory gel implant was used for her reconstruction.
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PMC3440140_01_eplasty12e44_fig3.jpg
F3
Superior, inferior, and medial capsulectomy was required to adjust her subpectoral pocket to accommodate the 600 cc high-profile mentor memory gel implant. (see Fig 3) No acellular dermal matrix was utilized in this implant procedure.