Resumen

Objectives: To analyze the importance of the pectoral muscle strip in the surgical management of secondary mastopexies with subglandular implants, highlighting its influence on implant coverage, breast contour and prevention of complications, such as capsular contracture or implant displacement. This objective can be developed by covering: Anatomy and function of the pectoralis muscle strip in breast surgeries. Surgical techniques to preserve or manipulate the muscle strip in secondary mastopexies. Comparison between subglandular and submuscular implants in terms of complications and aesthetic results. Introduction: This procedure seeks to optimize the support of the breast tissue and improve the position and projection of the implant. Its incorporation allows complex anatomical challenges to be addressed, offering greater stability and lasting aesthetics in patients with a history of breast surgery. Results: The results of the procedure are usually very satisfactory for both patients and surgeons. This technique provides additional support to the implant, helping to prevent displacement and improve long-term stability. In addition, it allows a redefinition of the breast contour, improving the symmetry, projection and position of the breast. Patients report significant improvements in aesthetics and confidence. Conclusion: In conclusion, the technique represents an effective solution to address aesthetic and support challenges in secondary breast surgeries. By providing additional stability to the implant and improving the definition of the breast contour, this procedure contributes to more predictable and long-lasting results, reducing associated complications. Its proper planning and execution reinforce its usefulness as a valuable tool in modern plastic surgery, benefiting both the functionality and aesthetic satisfaction of patients.