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Inframammary Incision



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Inframammary incisions are a surgical procedure to augment the breasts. The incision is hidden under the breast crease and is only visible when the breast is lifted. It is easy to conceal under any bikini. It is suitable for pre-filled and large silicone breast implant.

Incision technique

The most popular breast-augmentation procedure is the inframammary. This involves making a small incision on the breast and then inserting the breast implants. This method of breast augmentation can be done safely. The incision does not affect the nipple or areola, and it can be performed on women with large breast implants. This method is safe for breastfeeders.

One of the key advantages of the inframammary incision technique is its ability to reduce overall surgical time. To insert the small infiltration cannula, the surgeon makes a 3mm stab-shaped incision. The surgeon then injects 150mL of tumescent solution through the incision. This will elevate the pocket, promote hemostasis and encourage blood flow.

Inclusion criteria

The inframammaryfold is a key landmark in breast surgery. It is used to define ptosis and the inferior border of breast on the chest wall. Important consideration in order to avoid implant migrating is that the fold serves as inferior support for subpectoral or lateral implants. In addition, a fold is visually important for reconstructive and aesthetic procedures.


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Participation in the study will only be granted to women over 14 years old who have suffered from excessive inframammary and/or genital sweating. A legal representative must accompany patients under 18 who sign the FITC. The FITC is not available to women who have been pregnant or are breastfeeding. Patients should be aware that participation in the study will not result in any financial incentives.

Risques

There are risks associated with inframammary surgery. An inframammary reduction can lead to a double-bubble shape where the implant contour meets the breast tissue. This type deformity can lead you to many complications, including breast carcinoma.


Inframammary incisions do not work as well as those that are made at the periareolar/circumareolar crease. This is because sensory nerves in the lower pole of the breast are prone to stretching or cutting during inframammary incisions. Inframammary can cause more nipple neoplasm than periareolar and are therefore less aesthetic.

Disadvantages

The most widely used type in plastic surgery is the inframammary. Its ease of use, visibility and accessibility are the main reasons for its popularity. It is also able to directly access submuscular or subpectoral planes. This incision is less painful and comes with fewer risks. Furthermore, the inframammary approach is also ideal for achieving placement symmetry with minimal scarring.

However, this breast enhancement technique has some limitations. It's not as precise as other surgical methods and the implants can be too high or unevenly placed on the chest. The scars that are left behind may not be as concealable as one might think.


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Modified approach

The inframammary folding is an incision which extends from the chest wall down to the underlying tissue. The inframammary fold is then closed using multiple layers of absorbable sutures, extending to the medial and lateral edges of the breast. The skin disc is then moved toward the middle of the breast to restore the original nipple–areolar position. To close the wound, smaller gauge sutures can be used.

The incision will be made along the inframammary (which is far from the flap’s edge). Special devices can be used to harvest flap material in certain cases, such as an endoscopic instrument, a retractors equipped with a lighting system, or a retractors that have a lighting system.



 



Inframammary Incision