If the mastopexy includes simultaneous breast augmentation with submuscular emplacement, the surgeon observes that the pectoralis major muscle is divided from the sternum and the ribs. After cutting the implant pocket, the surgeon then de-epithelializes the B-pedicle. To facilitate the dermal closure (joining the wound edges) with minimal tension to the sutures, the breast implant either is displaced up, into the implant pocket, or is partially deflated. For the subglandular emplacement of breast implants, the technique is different; the de-epithelialization of the pedicle dermis is performed initially, after which an incision is made through the de-epithelialized dermis, at the base of the vertical limb of the mastopexy, and then, by means of blunt dissection, an implant pocket is cut above the pectoralis major muscle.