Annales De Chirurgie Plastique Esthetique最新文献

{"title":"Revue de presse","authors":"","doi":"10.1016/j.anplas.2025.04.005","DOIUrl":"10.1016/j.anplas.2025.04.005","url":null,"abstract":"","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 357-358"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DIEP breast reconstruction in a patient with an unknown Raynaud's phenomenon: A reflection on microvascular disorders and free flaps.","authors":"B Gherle, S Gandolfi, V Commenge, A G Mohan, B Chaput, T Meresse","doi":"10.1016/j.anplas.2025.03.008","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.03.008","url":null,"abstract":"<p><p>Free flap reconstructions are the gold standard in autologous breast reconstruction. Although free flap reconstruction in a patient with Raynaud's phenomenon is not a contraindication, this phenomenon must be recognized by the surgeon and all the necessary measures taken. If the surgeon is aware of this particularity, he will be prepared to take the necessary measures in the immediate postoperative period. The presence of Raynaud's phenomenon can influence the immediate postoperative evolution of a free flap by making it difficult to monitor. We present a case of a 50-year-old woman with an unknown Raynaud's phenomenon who underwent breast reconstruction using a free DIEP flap. She was referred to our department where a one-stage reconstruction was performed using a free deep inferior epigastric artery perforator (DIEP) flap. The postoperative course of the flap progressed from pale to cyanotic to mottled, an evocative appearance for Raynaud's phenomenon. At the three-month follow-up evaluation, the aesthetic result was satisfactory, despite a worrying postoperative appearance. Good outcomes are possible by using appropriate methods in the postoperative period, even if the clinical evolution of the flap is atypical. By taking into account and specifically treating Raynaud's phenomenon, the flap was preserved with an usual result.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology and management of dog bite injuries to the hand and upper limb.","authors":"T Stoclet, A Laudat, F Monti, F Luc, I Auquit-Auckbur, M Payen","doi":"10.1016/j.anplas.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.04.003","url":null,"abstract":"<p><strong>Background: </strong>Dog bites to the hand and upper limb are common and carry a high-risk of severe injury and infection. However, epidemiological data, particularly comparing adult and pediatric populations, is limited. The study aims to describe patient demographics, injury severity, and the medical or surgical treatment provided. While comparing these results between adult and pediatric populations.</p><p><strong>Methods: </strong>This retrospective study recorded all the dog bites affecting the hand and upper limb over a 11-year period (2013-2023) in a single hospital using a Health Data Warehouse called 'Entrepôt de Données de Santé Normand' (EDSaN). Cases were identified using ICD-W54.0XXA codes, and cross-referenced with unstructured data via keyword-based queries. Patients were categorized as pediatric (<18years) or adult (≥18years) subgroups. Bite severity (fracture, tendon injury, nerve injury and infection), antibiotic prescriptions, and care pathway were assessed. Statistical analysis included Chi² and Student's t-tests with an alpha risk of 0.05.</p><p><strong>Results: </strong>Among 5081 bites, 1444 (28.4%), involved pediatric patients and 3637 (71.6%) involved adults. Adults had significantly higher rates of severe injuries, including fractures (15.9% vs. 8.8%, P<0.01), nerve injuries (8.9% vs. 3.0%, P<0.01), tendon injuries (2.6% vs. 0.6%, P<0.01), and infections (16.2% vs. 12.8%, P<0.01). Adults had lower rates of antibiotics prescriptions (62.6% vs. 66.3% P<0.05). Surgical procedures were performed in 9.4% of cases with no statistical difference between groups.</p><p><strong>Conclusion: </strong>Dog bites are a common reason for emergency department visits. This large-scale epidemiological study highlights a low rate of surgical procedures, insufficient antibiotics prescription, and statistical differences in bites severity between adults and children. The low rate of surgical interventions may indicate barriers to operating room access.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repenser l’intégrité scientifique en chirurgie plastique : réflexions sur les responsabilités éditoriales et institutionnelles","authors":"L. Lantieri","doi":"10.1016/j.anplas.2025.04.001","DOIUrl":"10.1016/j.anplas.2025.04.001","url":null,"abstract":"&lt;div&gt;&lt;div&gt;La chirurgie plastique, discipline de l’innovation, s’est historiquement appuyée sur les cas cliniques pour faire progresser ses techniques. Ces cas, souvent uniques, constituent un levier précieux de diffusion des avancées, notamment face aux limites méthodologiques des essais randomisés dans ce champ aux pratiques individualisées et techniques artisanales. Cependant, cette dépendance aux cas cliniques soulève des enjeux éthiques majeurs. L’attribution des contributions dans des contextes multidisciplinaires reste floue, et certains abus – comme la publication non autorisée ou sans reconnaissance de l’environnement institutionnel – remettent en cause l’intégrité scientifique. Face à l’émergence de l’intelligence artificielle qui transforme la recherche biomédicale en automatisant les revues de littérature et les méta-analyses, les cas cliniques originaux, par leur unicité, échappent à ces modèles prédictifs. Leur valeur heuristique, justifie leur pleine reconnaissance dans l’éventail des preuves scientifiques. Ils doivent ainsi rester des objets de publication soigneusement encadrés. Il est donc important de redéfinir les normes de publication dans notre spécialité ce qui implique : l’application systématique de lignes directrices (CARE, SCARE, STROBE, GRIPP2), l’exigence d’un aval hiérarchique avant toute soumission, une formation à l’éthique de la publication pour les plus jeunes, et une transparence absolue sur les consentements patients et l’attribution des auteurs. Le cas clinique, s’il est rigoureux, novateur et bien contextualisé, reste un pilier incontournable du progrès chirurgical. En le protégeant des dérives opportunistes il conserve toute sa valeur scientifique et pédagogique.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;Plastic surgery, by nature an innovative discipline, has historically relied on clinical case reports to advance its techniques. Often unique, these cases are a valuable vehicle for disseminating breakthroughs — especially in a field marked by highly individualized practices and artisanal surgical approaches, where randomized trials are often impractical. However, this reliance on case reports raises significant ethical concerns. In multidisciplinary settings, attribution of contributions often remains ambiguous. Misconduct, such as unauthorized publications or omission of institutional recognition, threatens the integrity of scientific output. As artificial intelligence reshapes biomedical research — automating literature reviews and meta-analyses — original case reports, by their singularity, escape these predictive models. Their heuristic value fully justifies their inclusion within the spectrum of scientific evidence. For this reason, their publication must be tightly regulated. Redefining publication standards in our field is essential. This includes the systematic application of international guidelines (CARE, SCARE, STROBE, GRIPP2), mandatory institutional approval before submission, formal training in research ethics for ","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 253-257"},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[What do our patients want? Patients' expectations and requests during an initial plastic surgery consultation].","authors":"N Dirhoussi, D Poisbleau, B Hersant, J-P Meningaud","doi":"10.1016/j.anplas.2025.03.009","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.03.009","url":null,"abstract":"<p><strong>Background: </strong>The growing media exposure of plastic, aesthetic, and reconstructive surgery, particularly through social networks, significantly influences patient expectations. Understanding these expectations during initial consultations is essential to improving patient care and satisfaction.</p><p><strong>Objective: </strong>To identify the primary expectations of patients during a first consultation and analyze variations according to demographic groups and reasons for consultation.</p><p><strong>Methods: </strong>A survey was conducted among 104 patients attending their first consultation at the plastic surgery department of a university hospital in Paris. A structured questionnaire was used to gather data on key criteria for patients, including the practitioner's attitude, consultation duration, and the influence of social networks and scientific publications.</p><p><strong>Results: </strong>The most valued criteria were the surgeon's empathetic attitude (median: 10/10) and precise explanations (median: 10/10). Teleconsultation was poorly accepted by 77.9% of respondents. The ideal duration of a first consultation was 15 to 30min for 62.5% of patients. Social networks were considered important by 43% of patients, mainly for before/after photos. Scientific publications were valued by 55% of participants. Patients consulting for aesthetic reasons were more likely to consider social networking publications important (52%) than those with non-aesthetic reasons (34%). Among patients, 40% were referred by a doctor, while 21% discovered the surgeon via social networks. Finally, clear differences were observed between younger and older patients, notably concerning their tolerance of teleconsultation and their mode of discovery of the practitioner.</p><p><strong>Conclusion: </strong>Patients emphasize the need for empathetic and detailed communication. Plastic surgeons can leverage these findings to adapt their practice and enhance the consultation experience.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protective suture technique in chronic tendinous mallet finger deformities","authors":"İ.F. Adıgüzel ,&nbsp;H. Ertem","doi":"10.1016/j.anplas.2025.04.002","DOIUrl":"10.1016/j.anplas.2025.04.002","url":null,"abstract":"<div><div>Adherence to splint use presents a significant challenge in the management of tendinous mallet finger injuries. This retrospective study aimed to evaluate the efficacy of the protective suture technique in improving treatment adherence and clinical outcomes in patients with chronic mallet finger deformities. A total of 48 patients treated between November 2022 and September 2023 were included in this study. The primary outcome measures included extensor lag before and after the procedure, average flexion deficit, mean Brief Michigan Hand Outcomes Questionnaire (MHQ) score, and Crawford criteria. The patients were categorised into subacute and chronic groups. The mean pre-procedure extensor lag was 52.08°, which improved to 3.6° post-procedure. The mean flexion deficit was 2.95°. The mean Brief MHQ score was 96.83. According to the Crawford criteria, 30 patients achieved excellent outcomes. These findings suggest that this technique enhances treatment success and yields favourable functional outcomes, particularly in patients with compliance issues with splint therapy.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div><div><div>L’observance du port de l’attelle représente un enjeu majeur dans la prise en charge des lésions tendineuses du doigt en maillet. Cette étude rétrospective avait pour objectif d’évaluer l’efficacité d’une technique de suture protectrice dans l’amélioration de l’adhésion au traitement et des résultats cliniques chez des patients présentant des déformations chroniques du doigt en maillet. Un total de 48 patients traités entre novembre 2022 et septembre 2023 ont été inclus dans cette analyse. Les critères d’évaluation principaux comprenaient le déficit d’extension avant et après la procédure, le déficit moyen de flexion, le score moyen obtenu au Brief Michigan Hand Outcomes Questionnaire (MHQ), ainsi que les critères de Crawford. Les patients ont été répartis en deux groupes: subaigu et chronique. Le déficit moyen d’extension préopératoire était de 52,08°, avec une amélioration notable à 3,6° après l’intervention. Le déficit moyen de flexion s’élevait à 2,95°, tandis que le score MHQ moyen atteignait 96,83. Selon les critères de Crawford, 30 patients ont présenté des résultats qualifiés d’excellents. Ces résultats suggèrent que la technique décrite contribue significativement à l’amélioration du taux de succès thérapeutique et des résultats fonctionnels, en particulier chez les patients présentant une faible observance du traitement orthétique.</div></div><div><h3>Niveau de preuve</h3><div>IV.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 335-340"},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of classic vs double concentrated dose botulinum toxin injections in the treatment of crow's feet","authors":"D. Labbe ,&nbsp;H. Alsajjan ,&nbsp;A. Abdulshakoor","doi":"10.1016/j.anplas.2025.03.005","DOIUrl":"10.1016/j.anplas.2025.03.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;When it comes to administering botulinum toxin for treating rhytids, a standard approach is usually used by most providers in terms of dose concentration. The aim of this study is to compare the outcomes of a classic, none double concentrated dose vs. a double concentrated dose for treating crow's feet.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;We have injected the orbicularis oculi in a series of 10 patients with the left side as a control side using the classically concentrated dose (2 units per 0.5&lt;!--&gt; &lt;!--&gt;cm&lt;sup&gt;3&lt;/sup&gt;) compared to the double concentrated dose on the right (2 units per 0.25&lt;!--&gt; &lt;!--&gt;cm&lt;sup&gt;3&lt;/sup&gt;). The injections were administered using an auto-injecting syringe.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;On control day 14, we noticed that the majority of patients had a more apparent reduction in wrinkles on the left–classically concentrated–side (wrinkling appeared to be more prominent on the double concentration right side). A benefit noticed in some patients was a more symmetrical appearance of periorbital rhytids and sometimes the eyebrows with the uneven doses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;We found that injecting a double concentrated dose of botulinum toxin does not necessarily mean better reduction in the appearance of wrinkles even with the retrograde injection technique. However, certain implications may be found in tailoring the dosing of botulinum toxin depending on the needs of the patient on opposite sides of the face as opposed to unifying the dose for both sides.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Contexte&lt;/h3&gt;&lt;div&gt;Lorsqu’il s’agit d’administrer de la toxine botulique pour traiter des rides, la plupart des injecteurs utilisent généralement une approche standard en ce qui concerne la concentration de la dose. Le but de cette étude est de comparer les résultats d’une dose classique, sans double concentration, par rapport à une double dose concentrée pour le traitement des pattes d’oie.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthode&lt;/h3&gt;&lt;div&gt;Nous avons injecté l’orbiculaire de l’œil chez une série de 10 patients avec le côté gauche comme côté témoin en utilisant la dose classiquement concentrée (2 unités pour 0,5&lt;!--&gt; &lt;!--&gt;cm&lt;sup&gt;3&lt;/sup&gt;) par rapport à la double dose concentrée du côté droit (2 unités pour 0,25&lt;!--&gt; &lt;!--&gt;cm&lt;sup&gt;3&lt;/sup&gt;). Les injections ont été administrées à l’aide d’une seringue auto-injectable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Au 14&lt;sup&gt;e&lt;/sup&gt; jour, nous avons remarqué que la majorité des patients présentaient une réduction plus apparente des rides du côté gauche – classiquement concentré – (les rides semblaient plus importantes du côté droit en double concentration). Un bénéfice observé chez certains patients était une apparence plus symétrique des rides et parfois des sourcils avec des doses inégales.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Nous avons constaté que l’injection d’une dose doublement concentrée de toxine botulique ne signifie pas nécessairement une meilleure réduction de l’","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 273-278"},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trans-flap nasal airway preservation in-house device.","authors":"Í Aragón-Niño, H Ma, Z Liu, S Zhang, Y He","doi":"10.1016/j.anplas.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.03.001","url":null,"abstract":"<p><p>Reconstruction of the nasal pyramid following oncologic ablative surgery presents a unique set of challenges due to the region's intricate anatomy and dual functional and aesthetic significance. In cases where immediate nasal reconstruction is not feasible, maintaining nasal airway patency becomes critical for patient safety and postoperative outcomes. This technical note introduces a practical method for modifying and utilizing Naso-Flo® nasal intubation tubes as a nasal airway preservation device in reconstructive surgeries involving microvascular flaps. The technique ensures the preservation of nasal airflow through both nasal cavities by channeling two nasal tubes through the flap during reconstruction. The procedure begins with preoperative planning to measure the nasal cavities and design the flap while identifying safe zones for tube placement, avoiding vascular perforators. During flap inset, pathways are created through the flap's thickness to accommodate the nasal tubes, which are securely positioned and sutured externally. This device provides an alternative airway until secondary reconstructive surgeries are performed, with adjustable trimming during follow-up. This in-house modification demonstrates an efficient, cost-effective solution to preserve nasal airway patency, offering functional and safety benefits in complex nasal reconstructions where staged procedures are required.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Corrigendum to \"Carcinologic surgery of the forehead\" [Ann. Chir. Plast. Esth. 69(6) (2024), 580-602]].","authors":"K Bustamante, E Sorrel Dejerine","doi":"10.1016/j.anplas.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.01.006","url":null,"abstract":"","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous approach for inframammary fold creation combined with exclusive adipose tissue transfer in post-mastectomy breast reconstruction","authors":"J. Urbain ,&nbsp;C. Brenac ,&nbsp;M. Lherm ,&nbsp;F. Boucher ,&nbsp;A. Mojallal","doi":"10.1016/j.anplas.2025.03.004","DOIUrl":"10.1016/j.anplas.2025.03.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;The inframammary fold has an important role in breast's aesthetic and maintain and should be restored during breast reconstruction after mastectomy. Several techniques have been described, mainly based on an open approach, not adapted in case of complete reconstruction by fat grafting. To address these concerns, the authors propose a percutaneous approach for inframammary fold reconstruction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This single-center, retrospective cohort study included female patients&lt;!--&gt; &lt;!--&gt;≥&lt;!--&gt; &lt;!--&gt;18 years old with a history of unilateral or bilateral mastectomy and deferred breast reconstruction using fat grafting with percutaneous inframammary fold creation. Patient data (age, BMI, prior radiotherapy, procedure details, complications) were collected. The percutaneous inframammary fold fixation combines a superficial liposuction of the lower thoracoabdominal area with a percutaneous overlock suture anchoring the dermis to the deep thoracic fascia, and a net suture in segment 4. This technique allows for moderate skin recruitment, simultaneous fat transfers in the same operation, and increase inframammary fold definition and breast ptosis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 26 patients (29 breast reconstructions) were included. The median age was 59 years, and patients underwent a median of 4 interventions with a total fat transfer volume of 1190&lt;!--&gt; &lt;!--&gt;mL. Six patients required IMF revisions, with no major complications observed. The technique showed favorable outcomes with stable IMF definition over time.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This percutaneous inframammary fold creation technique, combined with fat grafting, broadens reconstructive options for mastectomy patients. It is safe, reproducible, and enhances breast aesthetics with minimal morbidity.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Le sillon sous-mammaire joue un rôle essentiel dans l’esthétique et la forme du sein et doit être restauré lors de la reconstructions mammaire après mastectomie. Plusieurs techniques ont été décrites, principalement avec une approche ouverte, qui ne conviennent pas en cas de reconstruction complète par transfert de tissu adipeux. Pour répondre à cette problématique, les auteurs proposent une approche percutanée pour la reconstruction du sillon sous-mammaire.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes&lt;/h3&gt;&lt;div&gt;Cette étude de cohorte rétrospective monocentrique inclut des patientes âgées de&lt;!--&gt; &lt;!--&gt;≥&lt;!--&gt; &lt;!--&gt;18 ans, présentant des antécédents de mastectomie unilatérale ou bilatérale, et ayant bénéficié d’une reconstruction mammaire différée par transfert de tissu adipeux avec fixation percutanée du sillon sous-mammaire. Les données comprenaient l’âge, l’IMC, l’antécédent de radiothérapie, détails des interventions et complications. La fixation percutanée du sillon sous-mammaire combine une liposuccion superficielle de la zone thoracoabdominale inférieure, un surjet percutané ancrant le d","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 341-348"},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}