Triple-Plane Technique for Breast Augmentation: Solving Animation Deformities

Bracaglia, Roberto; Tambasco, Damiano; Gentileschi, Stefano; D’Ettorre, Marco

doi:10.1007/s00266-013-0128-y

Cited by 13 publications

(14 citation statements)

References 12 publications

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“…Its activity remains normal but with a low degree of dynamic deformities. 18 In conclusion, the dual-plane DIEP flap results in optimal scar quality, advances fullness of the upper pole, optimizes the breast shape, and prevents ptosis over time. Most importantly, it results in high patient satisfaction and may be considered as a method of choice in any delayed autologous breast reconstruction.…”

Section: Discussionmentioning

confidence: 86%

Tips and Outcomes of a New DIEP Flap Inset in Delayed Breast Reconstruction: The Dual-Plane Technique

Gravvanis

Kakagia

Samouris

et al. 2016

J reconstr Microsurg

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Purpose The dual-plane deep inferior epigastric perforator (DIEP) flap inset technique is herein presented with tips for optimizing the aesthetic outcome in delayed autologous breast reconstruction after radiation therapy. Patients and Methods A total of 42 women who underwent microsurgical reconstruction with a free DIEP flap participated in this prospective study. The flap was inset in a dual plane lying behind the pectoralis major at the upper pole and in front of the muscle at the lower pole of the reconstructed breast. Results The dual-plane flap inset resulted in natural transition from native and reconstructed tissues, excellent scar quality, optimal outline of the breast, and overall breast appearance. Moreover, dual-plane reconstruction was associated with constantly high patient satisfaction without wearing brassiere due to fullness of the upper pole and minimal ptosis with time. Conclusion The dual-plane DIEP flap inset results in optimal scar quality, breast shape, and fullness of the upper pole, resulting in high patient satisfaction.

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Section: Discussionmentioning

confidence: 86%

Tips and Outcomes of a New DIEP Flap Inset in Delayed Breast Reconstruction: The Dual-Plane Technique

Gravvanis

Kakagia

Samouris

et al. 2016

J reconstr Microsurg

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“…This could be attributed to the superior splitting of the muscle. Its activity remains normal but with a low degree of dynamic deformities …”

Section: Discussionmentioning

confidence: 99%

Dual plane diep flap inset: Optimizing esthetic outcome in delayed autologous breast reconstruction

et al. 2015

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“…The triple plane technique [9] is employed in cosmetic breast augmentation and is also used for the primary prevention of breast deformity after augmentation. Here, the pectoral muscle is cut horizontally to the sternal base on the level of the nipple-areola complex.…”

Section: Discussionmentioning

confidence: 99%

“…The expressions ‘breast animation', ‘breast (shape) distortion', ‘unnatural movement with chest muscle contraction', ‘animation deformities', or ‘hyperanimation' describe for the most part breast deformities that occur after esthetic breast augmentation [7,8,9,10,12,13]. In contrast to esthetic augmentation, in the case of subcutaneous or skin-sparing mastectomy due to breast cancer, the glandular tissue is completely removed leaving the overlying skin and varying amounts of subcutaneous fat tissue, and possibly the nipple-areola complex in the case of a purely subcutaneous mastectomy.…”

Section: Methodsmentioning

confidence: 99%

“…In the majority of cases, direct reconstruction is done by means of a heterologous implant which can be placed either prepectorally or subpectorally. Possible risks and complications of implant-based breast reconstruction are the emergence of capsule fibrosis [5,6], dislocation of the implant, a foreign body-like feeling in the breast, numbness [7,8,9,10], re-operation, and adhesion of the breast muscle to the overlying skin; via tension in the pectoral muscle, the latter can lead to the unnatural breast deformity known as ‘jumping breast'.…”

Section: Introductionmentioning

confidence: 99%

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Jumping Breast Phenomenon Following Subcutaneous Mastectomy: First Description and Grading of a Well-Known Breast Deformity

Kümmel

Hagemann

et al. 2018

Breast Care

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Introduction: One of the goals of breast cancer surgery is to preserve the breast. However, where this is not possible, various breast reconstructive procedures are available. The most common procedure is the immediate insertion of a subpectoral implant after removing the breast tissue. A significant challenge involving subpectoral implants is the deformation of the breast upon contraction of the pectoral muscle causing elevation of the breast and development of wrinkles or ripples in the caudal and cranial quadrants (jumping breast), especially in slim patients with a thin subcutaneous fat layer. Methods: While the jumping breast phenomenon after augmentation is well-known in cosmetic breast surgery, it has never been systematically described. In oncologic breast surgery, this deformity, which at times can be quite severe, has been ignored thus far. Results and Conclusion: In this paper, we present an initial distinction of grades for the so-called jumping breast, show examples for the different grades of severity of breast deformity in response to tensing of the pectoral muscle, and further describe different primary and secondary procedures for the prevention of the jumping breast phenomenon. By means of a 2-stage procedure, we can prevent this complication and reduce the risk of breast deformity after implant-based breast reconstruction.

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Triple-Plane Technique for Breast Augmentation: Solving Animation Deformities

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 13 publications

References 12 publications

Tips and Outcomes of a New DIEP Flap Inset in Delayed Breast Reconstruction: The Dual-Plane Technique

Tips and Outcomes of a New DIEP Flap Inset in Delayed Breast Reconstruction: The Dual-Plane Technique

Dual plane diep flap inset: Optimizing esthetic outcome in delayed autologous breast reconstruction

Jumping Breast Phenomenon Following Subcutaneous Mastectomy: First Description and Grading of a Well-Known Breast Deformity

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