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The double-bubble deformity: cause, prevention, and treatment.
1Santa Barbara, Calif. From the Division of Plastic Surgery, David Geffen School of Medicine, University of California, Los Angeles.
Plastic and Reconstructive Surgery
|November 28, 2013
Summary
Understanding the inframammary fold’s anatomy is key to preventing and treating the double-bubble deformity after breast augmentation. Surgical strategies vary based on patient-specific anatomical predispositions.
Area of Science:
- Plastic Surgery
- Anatomy
- Breast Augmentation
Background:
- The double-bubble deformity is a known complication of breast augmentation.
- Limited literature exists focusing exclusively on this deformity.
Observation:
- A systematic review of prior publications on inframammary fold anatomy and its relation to the double-bubble deformity was conducted.
- Disagreements regarding the precise anatomical structure of the inframammary fold were addressed.
- The causes and surgical correction of the double-bubble deformity were discussed in relation to fold anatomy.
Findings:
- Appreciation of inframammary fold anatomy is crucial for understanding and correcting the double-bubble deformity.
- Correction strategies depend on whether patients have pre-existing anatomical features that predispose them to the deformity.
Implications:
- Various surgical strategies, including dual-plane pockets, form-stable implants, capsulorrhaphy, pocket plane conversion, and acellular dermal matrices, can aid in preventing and treating the double-bubble deformity.
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