The lower thoracic advancement technique in breast reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Surgery

Background:

• Improving breast reconstruction outcomes is crucial.
• Achieving a natural ptotic shape and stable inframammary fold remains a challenge.

Purpose of the Study:

• To describe a technique using local tissues for breast reconstruction.
• To evaluate its effectiveness in creating a stable inframammary fold and natural shape.

Main Methods:

• Utilizes local tissues for modest supplementation of prethoracic skin coverage.
• Involves placement of a subpectoral implant.
• Facilitates progressive expansion of inferior and lateral skin coverage.

Main Results:

• Creates a stable, well-defined inframammary fold.
• Results in progressively more natural ptotic breast shape.
• Allows for subsequent increases in implant volume.
• Offers good match of skin color and texture.
• Confines donor site scarring to the inframammary fold.

Conclusions:

• This technique provides a stable, natural-looking result in breast reconstruction.
• It offers advantages in terms of aesthetics and scar placement.
• The method allows for future augmentation if needed.