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A Simple and Scarless Method for Inframammary Fold Correction Using a Barbed Suture.
Koichi Tomita1, Mifue Taminato1, Michiko Nomori1
1Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
Plastic and Reconstructive Surgery. Global Open
|August 9, 2020
Summary
A new, minimally invasive technique effectively recreates a smooth inframammary fold (IMF) after breast reconstruction using small incisions. This scarless method improves IMF definition and reduces patient burden.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Surgery
Background:
- Traditional inframammary fold (IMF) correction often requires large incisions, increasing surgical invasiveness.
- The drawstring method offers a simpler approach to IMF reconstruction.
- A modified drawstring method has been developed for scarless IMF correction via small incisions.
Purpose of the Study:
- To evaluate a novel, minimally invasive technique for inframammary fold (IMF) correction.
- To assess the efficacy and outcomes of a modified drawstring method for IMF recreation.
- To determine the feasibility of achieving scarless IMF definition post-breast reconstruction.
Main Methods:
- The modified drawstring method was applied to patients requiring IMF correction or recreation.
- Data collected included patient demographics, surgical details, and postoperative outcomes.
- The study period spanned from May 2016 to June 2019, involving 20 patients.
Main Results:
- The technique was successfully applied in various breast reconstruction scenarios, including DIEP flap, implant, and fat grafting.
- Postoperative results showed a smooth and well-defined IMF, with overcorrection stabilizing within 2-3 months.
- Suture laxity was minimal, observed in only 3 patients across different reconstruction types.
Conclusions:
- The modified drawstring method provides an essentially scarless and effective means for IMF recreation.
- Adjustable barbed suture depth allows for precise control over IMF definition.
- The procedure's suitability for local anesthesia reduces costs and patient discomfort.
