The Supra-Inframammary Fold Approach to Breast Augmentation: Avoiding a Double Bubble

Area of Science:

• Plastic Surgery
• Aesthetic Surgery

Background:

• Traditional inframammary fold (IMF) incisions for breast augmentation risk scar visibility and deformities like bottoming-out or double bubble.
• Current techniques involve releasing and resuturing the IMF, potentially compromising its natural attachments.

Purpose of the Study:

• To evaluate the efficacy and patient outcomes of a modified supra-inframammary fold (IMF) incision technique in primary subpectoral breast augmentation.
• To assess the impact of this approach on implant position, scar visibility, and patient satisfaction.

Main Methods:

• A retrospective study of 160 women undergoing primary subpectoral breast augmentation using an incision 0.5-1.0 cm above the IMF.
• Preservation of IMF fascial attachments and release of the pectoralis origin from the lower sternum.
• Patient-reported outcomes collected via surveys.

Main Results:

• Implants demonstrated natural settling post-surgery, with a low incidence of complications (0.6% double bubble, 1 mild animation deformity).
• No reoperations were required for malposition, and symmastia did not occur.
• High patient satisfaction reported, with 98% willing to repeat the procedure and 94% finding scars well-hidden.

Conclusions:

• The supra-IMF approach facilitates natural implant descent, minimizing risks of malposition and deformities.
• This technique results in aesthetically pleasing, well-hidden scars in both standing and supine positions.
• The supra-IMF incision is a safe and effective alternative for breast augmentation, leading to high patient satisfaction.