case_images: PMC3440140_01
case_images: 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.
case_images: eplasty12e44_fig1.jpg
case_images: PMC3440140_01_eplasty12e44_fig1.jpg
case_images: F1
case_images: The fibers of this extra muscle were oriented obliquely and in the perpendicular direction to the underlying pectoralis muscle (see Fig 1).
case_images: This photograph demonstrates the patient after her last expansion prior to the expander to implant exchange. Notice the small bandage over the port.
case_images: eplasty12e44_fig2.jpg
case_images: PMC3440140_01_eplasty12e44_fig2.jpg
case_images: F2
case_images: The total amount of left expander fill at this point was 540 cc. (see Fig 2).
case_images: 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.
case_images: eplasty12e44_fig3.jpg
case_images: PMC3440140_01_eplasty12e44_fig3.jpg
case_images: F3
case_images: 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.