Clinical efficacy and key points of individualized breast augmentation via inframammary fold incision

Abstract

Objective To explore the key points of surgical techniques in individualized breast augmentation via inframammary fold (IMF) incision. Methods Fifty-six patients of our department from March 2014 to March 2017 in this group were followed up for 3-18 months, with average 12 months. According to the patients＇ characteristics to determine the size and dimensions of the implant and the exact position of new IMF, via IMF incision we inserted an implant part under the pectoralis major muscle and part posterior to the breast after precisely stripping and forming the implant pocket, which were the dual-plane augmentation mammoplasty. Results Compared with traditional endoscope-assisted breast augmentation via axillary incision, the breast augmentation via inframammary fold incision was more accurate, the operation time was shortened by an average of one hour, the intraoperative hemorrhage decreased by about 20 ml on average, the postoperative drainage fluid was reduced by about 70 ml on average, the hospitalization time was shortened by about 3 days, the postoperative breast shape was naturally upright, and the incision was hidden at the new inframammary fold. No hematoma, infection, significant hypertrophic scar, capsule contracture and other complications were noted. Conclusions The individualized dual-plane augmentation mammoplasty via IMF incision can hide the incision in the inframammary fold. The operation under direct vision and no use of special equipments make it an ideal breast augmentation surgery. Key words: Breast implantation; Prosthesis implantation; Micromastia; Mastoptosis; Inframammary fold