title: Pectoralis major "trapdoor" flap for silicone breast implant medial knuckle deformities.
abstract: Loss of breast parenchyma through surgery and physiologic involution can lead to problems of subglandular silicone breast implant palpability and even contour irregularities. This can give rise to patient concern and detracts from the aesthetics of the breast augmentation, particularly when it occurs medially. We present a simple solution to this problem on the medial side of the breast in the form of a small segmental medially based pectoralis major "trapdoor" flap that augments the implant soft-tissue cover intracapsularly, at the site where it is deficient. The technique, which has been used with success in five patients over 3 years, is described.
authors.affiliation: Department of Plastic Surgery, St. James University Hospital, Leeds, England.
authors.forename: N
authors.initials: N
authors.lastname: Collis
authors.forename: A J
authors.initials: AJ
authors.lastname: Platt
authors.forename: A G
authors.initials: AG
authors.lastname: Batchelor
mesh_terms: D019928:Breast Implantation / Q000009:adverse effects / Q000379:methods*; D018427:Breast Implants; D005260:Female; D006801:Humans; D012086:Reoperation; D020034:Silicone Gels
chemical_list: D020034:Silicone Gels