Subpectoral augmentation mammaplasty.

We have done subpectoral augmentations on 100 women to enlarge the small or hypomastic breast to a pleasing degree. These operations were performed in a major hospital operating room, under local anesthesia, on an ambulatory basis. No complications were encountered. Our goal, and that of our patients, was to enlarge the small breast to a pleasing degree which would harmonize with the body contour and form, and to maintain the natural consistency of the breast and the normal sensation of the nipple and the breast as a whole. This goal was reached and our patients have been appreciative and pleaded. There was no postoperative weakness of the pectoralis muscle, and we have seen no evidence of capsule contracture. The group represents about one percent of our overall experience with augmentation mammaplasty.