Beauty Insider, Dr. Alan Durkin MD Plastic Surgeon, Florida

Pectoralis Major Muscle in Breast Augmentations


Significance of Pectoralis Major Muscle in Breast Augmentations Modern breast augmentation commonly involves manipulation of the Pectoralis Major muscle. The majority of our breast augmentations are placed underneath the pectoralis major muscle to some degree. This requires a deep, comprehensive understanding of the muscle, its anatomy and possible variations, its function, and the effect of sustained, intense weight training on the muscle and its associated fascial planes. We wanted to provide some insight into what Read more

Got Under Eye Bags? Penny's Quick Fix...


Quick Fix for Under Eye Bags Yes and sign me up!!! Who doesn’t want to look 5 years younger? This one is a no-brainer. One of the latest innovative technologies to come to the beauty industry is a new at home, non invasive system and her name is “Neotensil”. Obagi partnered with the geniuses at MIT and they invented an amazing product that reduces the appearance of under eye bags within an hour! Neotensil™ is Read more

Take Home Chemical Peel- the Not so Gross pads!


Take Home Chemical Peel by Dr. Dennis Gross I must admit, when I heard one of our lovely aesthetician’s, Jeanmarie, tell me about this product we had from Dr. Gross I thought she was kidding. Dr. GROSS, REALY!!? I’m sure his marketing department had a few laughs when he told them he was going to use his name as the new brand! But name aside, my whole Dr. Gross experience started not with the pads; Read more

LUXE Liquid Foundation! Fall in LOVE!!


Fall In LOVE with LUXE! Luxe Liquid Foundation! Not only did I fall in Love, but I fell HARD and FAST!!! LUXE Liquid Foundation by glo-minerals™ is the new love of my foundation life. It was truly LOVE at my very first LUXE sight! Diamonds really are a girls best friend but, who would have thought they would also be your skins bestie??? Diamonds in combination with foundation…A match made in make-up heaven!!! I have been blessed Read more

Put your Best BREAST Forward!


Put your Best BREAST Forward! Hello world! First Time blogger here so please excuse my rambling on, run on sentences, grammatical errors, and anything else that might offend the well rounded and experienced bloggers out there. For my first blog I thought I would talk about something near and dear to my heart (literally), my Breasts. Being a young woman who has grown up in Florida, I have been around and seen a lot of breasts! Read more

Radiesse Injection Video, Fanning Technique -Dr. Durkin


Radiesse Injection Video, Fanning Technique Dr. Alan Durkin, Board Certified Plastic Surgeon, demonstrates a Radiesse injection using his fanning technique in a patient who wanted a more youthful appearance. In this video, Dr. Durkin shows you just how Radiesse, a dermal filler produced by Merz Aesthetics, is used to lift the cheeks of a female fitness model who had expressed concerns about the appearance of her nasal labial folds. Dr. Durkin explains how his fanning technique Read more

Pectoralis Major Muscle in Breast Augmentations

Alan Durkin, MD Breast Augmentations, Breast Surgery Leave a comment   ,

Significance of Pectoralis Major Muscle in Breast Augmentations

Modern breast augmentation commonly involves manipulation of the Pectoralis Major muscle. The majority of our breast augmentations are placed underneath the pectoralis major muscle to some degree. This requires a deep, comprehensive understanding of the muscle, its anatomy and possible variations, its function, and the effect of sustained, intense weight training on the muscle and its associated fascial planes. We wanted to provide some insight into what we look for, and what we see when examining the pectoralis major muscle.

Pectoralis Major Muscle

The pectoralis major muscle itself is considered “fan-shaped” by most text books. Specifically, the origin of the muscle is the sternal side of the clavicle, as well as the upper ½ of the sternum itself. The fibers then travel in two separate heads:

  1. Clavicular Head – Flexes your upper arm
  2. Sternocostal Head – Extends your upper arm

In unison, when both the clavicular and sternocostal muscle heads are used simultaneously, it allows medial rotation and adduction of your upper arm.

Anatomy of Chest Muscle Varies Between Individuals

There are many variations of the pectoralis major muscle anatomy. The most common variant is the degree of attachment to your sternum (i.e., breastbone). Your pectorals major muscle can extend all the way from the first rib to the seventh rib. Multiple other variations exist with the muscle:

  1. Sterncostal head extending between Ribs 1-4
  2. Sternocostal head extending between Ribs 2-6
  3. Deficient sternocostal head (poor overall medial medial muscle support)

Less commonly, there can also be an absence of the clavicular head (collar bone head), although this is very uncommon.

Other Major Muscles in Your Chest

Beyond your pectoralis major muscle, there is the external oblique muscle of the abdomen directly inferior and lateral. Between the pectoralis major and the external oblique, there lies the lateral subpectoral fascia. Your subpectoral fascia extends with the anterior lamella of the breast inferiorly, and fuses with Scarpa’s fascia in the abdomen. At the level of the inframammary fold, the anterior and posterior lamella fuse together, and then that condensation of fascia leads down to Scarpa’s fascia in the abdomen.

Breast Augmentation Considerations

Vice Sports

Vice Sports journalist, Ian Frisch, reports on how the competitive fitness industry pressures women into getting breast implants. Image is courtesy of Vice Sports (http://www.vicesports.com).

The most critical anatomic structures during breast augmentation are evaluated for each breast augmentation patient. And, at Ocean Drive Plastic Surgery, we tailor each breast augmentation to your unique anatomy.

For example, in patients with weak lateral pectoral fascial support, dissection on the lateral side is markedly reduced, or we use a biologic mesh to support the area. In patients with a poorly developed anterior lamella, limited dissection is undertaken beneath the breast, or support is added in the form of a biological mesh sling.

Conversely, in patients with a well developed lamellar breast layer such as with fitness models, we have more choices on how to position the implant within the breast footprint.

 


Got Under Eye Bags? Penny’s Quick Fix…

Penny Forsten Beauty, Make-up, Non-Surgical Cosmetic Procedures Leave a comment  

Quick Fix for Under Eye Bags

Neotensil for Under Eye Bags

“Neotensil is like Spanx™ for under your eyes”, says Penny Forsten, MedSpa Director.

Yes and sign me up!!! Who doesn’t want to look 5 years younger? This one is a no-brainer. One of the latest innovative technologies to come to the beauty industry is a new at home, non invasive system and her name is “Neotensil”. Obagi partnered with the geniuses at MIT and they invented an amazing product that reduces the appearance of under eye bags within an hour! Neotensil™ is an “invisible shapewear™” film to reshape the appearance of under eye bags and tighten the appearance of loose, sagging skin. SPANX™ for my under eyes…I’m already in LOVE!!!

Read more


Take Home Chemical Peel- the Not so Gross pads!

Brittany Grinstead MedSpa, Plastic Surgery, Skin Care Leave a comment   ,

Take Home Chemical Peel by Dr. Dennis Gross

I must admit, when I heard one of our lovely aesthetician’s, Jeanmarie, tell me about this product we had from Dr. Gross I thought she was kidding. Dr. GROSS, REALY!!? I’m sure his marketing department had a few laughs when he told them he was going to use his name as the new brand! But name aside, my whole Dr. Gross experience started not with the pads; but during my facial with the Dr. Gross alpha beta peel.

Dr. Dennis Gross Take Home Peel

The Dr. Dennis Gross take home chemical peel comes in 2 strengths: original and extra strength. Both strengths are available at Ocean Drive Plastic Surgery.

Now to appease my Beaurds (Beauty Nerds) out there I will give you a quick run-down about the product. Alpha beta itself is a spectrum of acids including lactic, glycolic, and salicylic that in conjunction with each other instantaneously boosts collagen; I mean hello who doesn’t want more of that! It also uses these natural acids to safely eat away any dead skin on the surface with no down time. Read more


LUXE Liquid Foundation! Fall in LOVE!!

Penny Forsten Beauty, Make-up, MedSpa 1 , ,

Fall In LOVE with LUXE! Luxe Liquid Foundation!

LOVE LUXE

We LOVE LUXE Liquid Foundation at Ocean Drive Plastic Surgery.

Not only did I fall in Love, but I fell HARD and FAST!!! LUXE Liquid Foundation by glo-minerals™ is the new love of my foundation life. It was truly LOVE at my very first LUXE sight!

Diamonds really are a girls best friend but, who would have thought they would also be your skins bestie??? Diamonds in combination with foundation…A match made in make-up heaven!!!

I have been blessed with good skin most of my life (thank you for the good genes, parents). Working for Ocean Drive Plastic Surgery may have done this girl good but I have received more compliments than ever since I started wearing LUXE liquid foundation. I was called, “glowy, radiant, and was asked if I had “work” done…especially because of where I am privileged to work. However, I can assure you it is ALL about the foundation makeup!

Read more


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