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A simple guide to inframammary-fold reconstruction
1Division of Plastic and Reconstructive Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, MA 02115, USA.
Annals of Plastic Surgery
|June 30, 2005
Summary
Reconstructing the inframammary fold (IMF) after breast reconstruction is challenging. A novel technique using a Steinman pin template ensures reliable and aesthetically pleasing IMF creation, improving symmetry and outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- The inframammary fold (IMF) is crucial for aesthetic breast reconstruction but difficult to recreate.
- Existing methods may not achieve optimal symmetry or a natural appearance.
Observation:
- A new technique for secondary IMF reconstruction is presented.
- It utilizes a Steinman pin template mirroring the contralateral IMF's curvature.
Findings:
- Twelve cases demonstrated good aesthetic outcomes and high reliability with over 10 years of follow-up.
- Key advantages include maximized symmetry via contralateral template, no additional incision, facilitated suture placement, and a smooth IMF contour using internal mattress sutures.
Implications:
- This technique offers a reliable method for improving aesthetic results in breast reconstruction.
- It is applicable to various reconstruction types, including flap, implant, or combined approaches.
- Addresses common postoperative deformities of the IMF.