Definition of the inframammary fold in breast reconstruction: a simplified option

S, Pompei; Frascino, Luiz Fernando; Marcasciano, Fabio; Caravelli, G; Abate, Ornella; Cricrì, G; Labardi, Lara; Arelli, Floriana

doi:10.1007/s00238-012-0707-1

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Pompei 14 in 2012 described a technique of suspended IMF, which is fixed to the thoracic wall with an intradermal running suture. Safarti 15 recently extended this technique with the fixation of the superficial abdominal fascia in only 2 points, giving to it a hammock appearance.…”

Section: Discussionmentioning

confidence: 99%

A Simple Algorithm for the Inframammary Fold Reconstruction, Balcony-Like Technique

et al. 2018

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The inframammary fold (IMF) is one of the most important landmarks that defines the breast region. Most of the current IMF reconstructive techniques are based on the creation of fibrotic structures to maintain the breast. We present a surgical technique of IMF reconstruction by the creation of a fascial flap underpinned by an anatomical evaluation of this structure and a simple algorithm to define the localization of the new IMF. Fifteen patients underwent our procedure of IMF reconstruction from 2004 to 2016. The patients were followed during at least 6 months after IMF reconstruction. This technique is based on the creation of a pectoralis major fascial flap fixed to the dermis by inverted resorbable sutures. The fascial flap represents a new ligament of the IMF reconstituting a physiological support. Cosmetic outcomes and stability over time were assessed. The long-term aesthetic outcome is optimal on all the patients treated with a natural shape and a good definition of the new IMF. There were no noted complications or revision surgery during the follow-up. Our technique consists of an anatomical reconstitution of IMF recreating a natural support “balcony-like” formed by the pectoralis fascia fixed to the dermis. This technique is useful to correct reconstructive or aesthetic procedures of the breast, with great cosmetic outcome and high reliability underpinned by the use of our position algorithm which is easy to use and enables a symmetrical position of the IMF.

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Section: Discussionmentioning

confidence: 99%

A Simple Algorithm for the Inframammary Fold Reconstruction, Balcony-Like Technique

et al. 2018

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“…Over the past decade, the rates of post-mastectomy breast reconstruction continue to rise, improving body image and quality of life [4]. Considering the recent trend towards implant-based reconstruction, non-autologus reconstruction provides several challenges to achieve good cosmetic results [5,6]. Aesthetic results are based on the essential features of a natural breast, including size, projection, upper pole contouring, lower pole fullness, ptosis, fold location, and symmetry [2,3,7].…”

Section: Discussionmentioning

confidence: 99%

Current Advances for Aesthetic Improvement in Breast Reconstruction: Mimicking the Augmented Breast

Rodby¹,

Quinn²,

Mehrara³

et al. 2014

Surgery Curr Res

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Background: Women seeking implant-based breast reconstruction increasingly request a round, projecting breast with an amplified upper pole that mimics the augmented breast. Two-stage reconstruction provides the opportunity to recreate a well-defined inframammary fold (IMF) with ptosis, to modify final implant characteristics (volume upsizing, high profile, gel implants) and correct contour irregularities with lipofilling at exchange to achieve this desired outcome. Methods/Technique: All patients completing two-stage breast reconstruction were added prospectively into a database. Patient demographics, oncologic phenotype and treatment, surgical details including IMF reconstruction, implant characteristics, and outcomes were reviewed. 2D and 3D photos and intraoperative videography were captured, further illustrating the technique. Results: 84 two-stage breast reconstructions were completed in 50 women between 5/2010-11/2013. Mean age at the time of mastectomy was 42.8 years and mean BMI was 30. At the time of exchange, the majority of implants were typically upsized from the final expansion volume, with a volume increase ranging from 10-150cc (mean increase 46cc). Mean expander fill volume and final implant volume were 595cc and 618cc respectively. Fifty-nine reconstructions (70%) included inframammary fold reinforcement. Sixty-eight (81%) of reconstructions utilized high profile or extra-high profile implants. Selective use of fat grafting was implemented later in the series. Conclusion: Current advances in two-stage implant based breast reconstruction are outlined to achieve upper pole fullness, anterior projection of the breast, and definition of the inframammary fold. These strategies afford reconstructive outcomes that parallel the desired aesthetic features of the augmented breast.

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“…4 The benefit conferred to this is a stable and optimal long-term aesthetic result. The risk is to create cutaneous necrosis, which can lead to implant exposure and secondary infection.…”

Section: Dear Sirmentioning

confidence: 99%

“…Another common flap is the descending genicular artery (DGA) perforator flap, which was first described as a 'saphenous flap' in 1981. 4 In this flap, the main perforator arises from the saphenous branch of the DGA.…”

Section: Dear Sirmentioning

confidence: 99%

Inframammary fold reconstruction: The “hammock” technique

Sarfati

Honart

Guimond

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Definition of the inframammary fold in breast reconstruction: a simplified option

Cited by 4 publications

References 15 publications

A Simple Algorithm for the Inframammary Fold Reconstruction, Balcony-Like Technique

A Simple Algorithm for the Inframammary Fold Reconstruction, Balcony-Like Technique

Current Advances for Aesthetic Improvement in Breast Reconstruction: Mimicking the Augmented Breast

Inframammary fold reconstruction: The “hammock” technique

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