Breast surgeon Robert Whitfield MD explains why he rejects the standard approach of placing implants behind the muscle. He prefers repairing and reshaping the pectoralis major itself, arguing that hiding the implant solves nothing and that layered reconstruction delivers better results.
Completely. So we provide, depending on how much breast tissue they have. I try to do and repair the pec major muscle, because many times these are behind the muscle. And that was done starting in, you know, as early as the late mid to late 60s and 70s because of capsular contracture. So that's where the scar tissue, which is your body's reaction to this, gets tight and hard around it. Right. And all implants initially were placed above the muscle, but because you could feel that tightness and hardness, it became one that they placed behind the muscle. And my feeling was that was meant to not necessarily solve a problem, but to hide the problem. Yeah, because it put more tissue between the examiner's hands and then the patient's understanding of the problem. And to your point, it put it closer to their heart. Heart, yeah. So I find that to be. I don't like things in that, you know, realm. So I try to reshape and lift and repair all the layers as much as I can do at one time. And then I provide holistic transformations with.
