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Augmentation mammaplasty: enhancing inferomedial cleavage
Aesthetic Surgery Journal
|April 3, 2009
Summary
Asymmetric inframammary fold lowering enhances breast implant cleavage and corrects deformities. This technique is valuable for augmentation mammaplasty patients, especially those seeking larger implants.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Augmentation
Background:
- Surgical correction of the inframammary fold (IMF) is typically symmetrical.
- Inferomedial fascial attachments can impede proper implant seating, causing superior projection.
- Asymmetrical IMF lowering addresses these issues by allowing greater inferomedial fold reduction.
Purpose of the Study:
- To present a technique for enhancing inferomedial cleavage in augmentation mammaplasty.
- To assess the frequency and clinical value of this asymmetrical IMF lowering procedure.
Main Methods:
- Retrospective review of 267 augmentation mammaplasty cases with inflatable implants (2001-2005).
- IMF lowering involved blunt and sharp dissection in the inferomedial area.
- Technique involved tapering reduction from inferomedial to lateral aspects.
Main Results:
- 84% of patients (225/267) had IMF lowering; 71% (191/225) underwent asymmetric lowering.
- Asymmetric lowering successfully enhanced inferomedial cleavage.
- Complications included 4 revisions for bottoming out and 1 hematoma.
Conclusions:
- Asymmetrical inferomedial IMF lowering effectively corrects breast constriction and lateral flare.
- The technique is beneficial for enhancing inferomedial cleavage.
- It is also suitable for patients desiring larger implants.
