Inframammary pulse generator placement for maximizing cosmetic effect.

Today with the expanding clinical role of cardiac pacing and more advanced methods of detecting pacing problems, more and more young patients are being identified as candidates for permanent pacing. Concern has been expressed by young female patients over the cosmetic effects of pacemaker surgery. Two young female patients were evaluated from a physiologic and cosmetic point of view. The electrodes were placed via the percutaneous approach. The pulse generator was treated as a breast implant using the usual recommended plastic surgeon's inframammary approach. In both cases, optimal cosmetic effect was achieved without any external evidence of the pacemaker system.