Breast augmentation: Research for a more natural result

Scientific article on pectoral nerve anatomy and breast augmentation

After being presented at the French Society of Plastic Reconstructive and Aesthetic Surgery congress in March 2012, Dr. Sylvain David's anatomical research has just been published in the highly prestigious Journal of Plastic Reconstructive and Aesthetic surgery. This anatomical study of pectoral nerve anatomy is intended to facilitate the placement of axillary prostheses in the sub-pectoral position. The new classification established by Dr. David provides precise data on the origin, course and termination of the 3 pectoral nerves, to enable a more accurate and precise assessment of the anatomy of the nerves. breast augmentation without the risk of damaging a nerve branch, and ensure optimal positioning of the breast prostheses for a natural result.

Introduction :

In many plastic surgeries, a detailed understanding of the pectoral nerve anatomy is often required, for example, during axillary breast augmentation, axillary dissection, harvesting the pectoralis major muscle island flap and removal or harvesting the pectoralis minor muscle. In those procedures, damage to the pectoral nerves can occur, leading to the denervation of the pectoralis major muscle and subsequent atrophy.

However, the necessary understanding of this nerve to avoid damaging the innervation of the pectoralis major muscle remains unclear. Indeed, recent studies on the courses and branches of the pectoral nerves contradict the classic description of the pectoral nerves. In the classic anatomic descriptions, the pectoralis major muscle is innervated by two pectoral nerves, but recent studies found that the pectoralis major muscle is innervated by three nerves.

The purpose of this study was to provide detailed anatomical information on the pectoral nerves to improve the understanding of pectoral muscle innervation and to allow for easy intra-operative localisation of these nerves during the previously mentioned procedures.

To read the full article: jprasurg.com