"KHAWAJA'S NO CUT PECTORAL TECHNIQUE FOR BREAST IMPLANT PLACEMENT WITHOUT CUTTING THE PECTORAL MUSCLES"
When breast implants are placed behind the pectoral muscles, over the rib cage, these muscles are cut on both sides, medially and laterally for accomodating the implants. Different surgeons have different approaches for cutting the pectoral muscles. Some use cautery, others use knief, but in any case there is bleeding during muscle cutting which needs to be controlled and usually breast surgeons severe pectoral muscles considerably and create a wider pocket for the implants, as is generally thought that implants stay better in a wider pocket. The proximal pectoral muscle rounds up over the implant and certainly there is loss of muscle function mostly completely and rarely partial, when the surgeon is more conservative in cutting the muscle.
Our cosmetic surgeon, Dr. H.A.Khawaja, has pioneered the "NO CUT PECTORAL TECHNIQUE", in which the implants are placed behind the pectoral muscles, without cutting them. The procedure is done under Khawaja's Turgid Local Anesthesia ( Khawaja's Formulas I-III ), and implants are placed inside the breasts, behind the pectoral muscles using very small incisions ( 1/2-1.5 inches ). The procedure takes around 30-40 minutes, is completely bloodless and painless. This state of the art technique is available at our clinic CSSC International.