Transaxillary subpectoral placement of textured breast prostheses

Textured breast implants are difficult to introduce through a small incision. We have developed two new retractors and a new positioning regimen that enables us to use the transaxillary subglandular or subpectoral approach for breast augmentation. These retractors enable us to bluntly dissect the plane beneath the gland or the pectoralis muscle and then adduct the arm so that the relaxed pectoralis or subglandular space can be retracted to allow atmospheric pressure, gravity, and the surgeon's finger to work in unison.