Achieving a natural inframammary fold and ptotic effect in the reconstructed breast

Achieving a natural inframammary fold in the reconstructed breast is a challenging but essential aspect of the excellent result for which we strive. Just as there are many methods of reconstruction, so too are there many ways to enhance the effect of a distinct fold in the reconstructed breast. Several of these techniques are discussed here, including methods for use with flaps, advancements, and expanders, with particular emphasis on implant reconstructions, both immediate and delayed. Also covered are the contributions of external massage and open capsulotomy toward this objective.