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Updated: Jul 19, 2026
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
[Bottoming out in augmentation mammaplasty--correction and prevention]
1Klinik für Hand-, Brust- und Plastische Chirurgie (Chefarzt: Prof. Dr. J. Hoch), Klinikum Neustadt/Holstein. JHoch@schoen-kliniken.de
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|September 23, 2006
Summary
This study introduces a novel technique to correct breast implant displacement, a rare complication after augmentation mammaplasty. The method involves preserving submammary fold fibers and using a supportive bandage or capsular flap for optimal implant positioning.
Area of Science:
- Plastic Surgery
- Anatomy
- Histology
Context:
- Breast implant displacement, or "bottoming out," is a challenging complication following augmentation mammaplasty.
- Existing correction methods include sutures and alloplastic grafts, which can be invasive or costly.
Purpose:
- To present a specialized treatment concept for correcting breast implant ptosis and "bottoming out" deformities.
- To detail a technique that preserves submammary fold fibers and utilizes a supportive bandage or capsular flap.
Summary:
- The technique involves preserving vertical submammary fold fibers during initial augmentation.
- For inferior displacement, a custom belt-like bandage is applied postoperatively for eight weeks.
- Severe "bottoming out" is addressed by lifting the capsular shell or employing a capsular flap technique to create an internal hammock, with postoperative bandaging.
Impact:
- Offers a refined approach to managing breast implant displacement, potentially reducing revision surgeries.
- Highlights the importance of fascial anatomy in preventing and correcting implant malposition.
- Provides a reproducible technique for plastic surgeons to improve aesthetic outcomes in augmentation mammaplasty.