Making a Definite Inframammary Fold Under a Reconstructed Breast

How to Redefine the Inframammary Fold

“…Different techniques have been described in literature to redefine the IMF. First, Pennisi 16 suggested the definition of the IMF through the creation of a dermal-fatty-superficial fascial flap, and its anchorage to the muscular fascia. Ryan 17 recreated the IMF by means of a lower thoracic advancement flap with dermal-periosteal anchorage.…”

Inframammary Fold Reconstruction With a Deepithelialized Skin Flap

“…Several techniques have been published to solve these problems in patients with breast reconstruction procedures after mastectomy in those who have a deficiency of prethoracic skin. [1][2][3][4][5][6][7] According to the anatomic studies of Bayati and Seckel, 8 the contour of the inframammary fold is given by a ligamentous structure that is continuous with the periosteum of the fifth rib medially and extends to the interspace between the fifth and sixth ribs laterally. This structure inserts into the deep dermis of the region of the inframammary skin fold and appears to serve a suspensory role.…”

„Bottoming out“ bei Mammaaugmentation - Möglichkeiten der Prävention und Korrektur

“…[16] beschreiben in einer Einzelfalldarstellung eine Methode, bei der ein entepithelialisierter, kutaner Lappen aus den kaudalen Anteilen der Brust in der Submammarfalte eingeschlagen wird, um die Submammarfalte nach subkutaner Mastektomie zu rekonstruieren und empfehlen dieses Vorgehen auch zur Korrektur einer Implantatdislokation nach Augmentation. Bereits 1977 beschrieb Pennisi [9] die Präpara-tion eines Kutis-Subkutis-Faszienlappens zur Rekonstruktion der Submammarfalte nach Mastektomie. Ryan [11] erweiterte dieses Verfahren 1982 unter Verwendung eines thorakalen Verschiebelappens, welcher am Periost der Rippen verankert wurde.…”