Focus on the Breast Fascial System: A New Approach for Inframammary Fold Reconstruction

Nava, Maurizio; Quattrone, Pasquale; Riggio, Egidio

doi:10.1097/00006534-199809020-00018

Cited by 88 publications

(34 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In particular, the most used 410 models were MX550 and LX625 in large breasts; MX445 and MX410 in medium-sized breasts; and MX325, FF290, and MF255 in small breasts. In four cases, a round implant (110 or 120) was chosen in the perioperative setting, for better matching with the contralateral breast and rebuilding of a lower pole overhanging the IMF according to the reconstructive technique used in our institute [14].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Predictability of anthropomorphic measurements in implant selection for breast reconstruction: a retrospective cohort study

et al. 2017

Self Cite

View full text Add to dashboard Cite

Background Preoperative implant planning for breast reconstruction is often at risk of being changed perioperatively. This study examined which factors are associated with a change of implant selection. Methods Women who had unilateral two-stage breast reconstruction between 2002 and 2007 were studied. Inclusion criteria were photographic evidence of preoperative skin markings indicating breast dimensions and a selected implant model. Multivariable logistic regression was used to identify variables associated with a changed selection. Results Among the 496 women studied, 308 preoperative implant choices (62.1%) were changed during surgery. A change in plan was significantly associated with symmetrization surgery involving contralateral reduction mammaplasty (OR = 1.92; 95% CI, 1.12 to 3.29) and contralateral mastopexy (OR = 2.26; 95% CI, 1.29 to 3.96), but not with BMI. The required implant width changed more than 0.5 cm in 70 cases (14.1%) while height changed more than 0.5 cm in 215 cases (43.2%). The likelihood of a change was high for large preoperative widths (OR = 9.66 for 15.5 cm) and small preoperative heights (OR = 2.97 for 10.5 cm). At a mean follow-up of 16.6 months, patient satisfaction was good or average in 92.1% of cases and 5.9% of implants had been replaced with another model, indicating that the perioperative implant selection was usually appropriate. Conclusions This study documents the frequency with which implant choices, despite accurate preoperative planning, are changed perioperatively as a result of relatively small differences in anthropomorphic measurements. Perioperative recalculation of breast dimensions may have an advantage in terms of patient reoperation rates. Changes in width were less frequent than changes in height and projection. Contralateral surgery, large width, and small height were the most influential factors. Level of Evidence: Level IV, risk / prognostic study.

show abstract

Section: Resultsmentioning

confidence: 99%

“…5); (3) IMF level, which must be planned preoperatively but is delineated perioperatively [14,16]; and (4) grade of ptosis achievable in some cases using the technique of inframammary remodeling (Fig. 6) [17].…”

Section: Discussionmentioning

confidence: 99%

Predictability of anthropomorphic measurements in implant selection for breast reconstruction: a retrospective cohort study

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…The incision is made to the level of the superficial fascia, which is incised across the new IMF. The lower free border of the superficial fascia is sutured to the chest wall on the proposed level of the new IMF (9). This method allows a new, well-defined IMF to be reconstructed without indentations and bulkiness with long-term stable results.…”

Section: A B C Dmentioning

confidence: 99%

“…T h e r e a r e m a n y p r o p o s e d m e t h o d s o f I M F reconstruction (7)(8)(9)(10)(11)(12)(13)(14) in the literature, but the majority of these techniques has some common disadvantages: visible scarring (7,8,10) and contour irregularities or indentations at the IMF (13), little ptosis improvement or small projection of reconstruction breast (6,8). The aim of this study was to report a new technique of IMF reconstruction that can provide stable results and improve the overall aesthetic results of breast reconstruction surgery.…”

Section: Introductionmentioning

confidence: 99%

Small refinements in breast reconstruction: a technique for inframammary fold creation

Исмагилов¹,

Vanesyan²,

Камалетдинов³

2017

Gland Surg.

View full text Add to dashboard Cite

Background: In breast reconstructive surgery, the inframammary fold (IMF) is an essential component of breast identity. The lack of the IMF following previous mastectomy requires restoration. We have developed a new IMF reconstruction technique using the posterior sheet (PS) of the expander capsule.This article presents our 10-year experience of performing this original technique during two-stage breast reconstruction.Methods: Preoperatively, the midline, lateral, and medial borders (MBs) of the implant pocket and the new IMF line were marked. After extracting the expander, the anterior sheet of the expander capsule was removed with the exception of its lowest 2-cm portion. Two needles were placed at the intersection of the new IMF line with the lateral border (LB) of the implant pocket and its MB. Within the pocket, horizontal dissection of the PS of the capsule was performed from one needle to another, after which the sheet was mobilized downward. The mobilized free border of the PS was pulled upward until the inframammary crease was at the new marked location, and then fixed with non-absorbable interrupted sutures to the underlying tissues. An implant was placed over this layer. The covering tissues were then closed.Results: A total of 321 patients were included. The median age was 38 years (range, 18-58 years). No serious wound complications were observed. Breast-thoracic angle decreased in 21 patients (6.5%), and the distance from the IMF to the lower border of breast segment III was greater than that of the contralateral breast in 14 patients (4.4%). Conclusion:This technique provides a well-defined IMF without indentations or retraction. The results are stable on long-term follow-up and provide a sharp breast-thoracic angle, which is crucial in creating natural-looking ptosis of the reconstructed breast.

show abstract

“…Especially orthopedic and trauma surgery often relies on biomechanical analysis before the introduction of a new method into clinical trials. 3,11,13,14 Although this has not yet been done in oncoplastic breast surgery, we find it important to create a solid, quantitative foundation for future work. Although we understand that not every surgical approach may undergo a prior biomechanical analysis, it seems prudent to attempt preclinical evaluation whenever possible.…”

Section: Eichler Et Al • Inframammary Fold Reconstructionmentioning

confidence: 99%

Inframammary fold reconstruction – a biomechanical analysis

Eichler¹,

J²,

Prescher³

et al. 2015

Senologie - Zeitschrift für Mammadiagnostik und -therapie

View full text Add to dashboard Cite

Focus on the Breast Fascial System: A New Approach for Inframammary Fold Reconstruction

Cited by 88 publications

References 0 publications

Predictability of anthropomorphic measurements in implant selection for breast reconstruction: a retrospective cohort study

Predictability of anthropomorphic measurements in implant selection for breast reconstruction: a retrospective cohort study

Small refinements in breast reconstruction: a technique for inframammary fold creation

Inframammary fold reconstruction – a biomechanical analysis

Contact Info

Product

Resources

About