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 easily concealed under a standard bikini top. It is compatible with pre-filled or large silicone breast implants.
Incision technique
One of the most well-known breast augmentation methods 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. It is safe to perform on women with large breast implant sizes. This procedure is safe for breastfeeding.
One of the key advantages of the inframammary incision technique is its ability to reduce overall surgical time. The surgeon performs this procedure using a stab-shaped incision, about 3 mm long, to insert a small infiltration cannula. To elevate the pocket and promote hemostasis, 150mL of tumescent solutions are injected through the incision.
Criteria of inclusion
Inframammary folds are an important landmark in breast surgeons. 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. The fold is also vital for aesthetic and reconstructive procedures.
Participation in the study will only be granted to women over 14 years old who have suffered from excessive inframammary and/or genital sweating. Patients under 18 must be accompanied by a legal representative who signs the FITC. Not eligible are women who are pregnant or breastfeed. Patients are advised that participation is voluntary and not contingent on payment.
Risques
Inframammary surgery is not without risks. 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 don't work as well as those made at the circumareolar or periareolar crease. This is due to the fact that the lower pole of your breast's sensory nerves can be stretched or cut by inframammary surgery. Inframammary and periareolar incisions may result in a higher incidence of nipple necrosis. They are also less aesthetic.
Disadvantages
Inframammary is the most commonly used type of incision in plastic surgeons. Its ease of use, visibility and accessibility are the main reasons for its popularity. It can also be used to access the submuscular, pericardial, and subglandular levels. This incision is less painful and comes with fewer risks. Inframammary is also a great option for placing symmetry and minimizing scarring.
However, this breast enhancement technique has some limitations. The main drawback is that it is not as precise as other surgical techniques, and the implants can sit unevenly or too high on the chest. In addition, the scar that is left behind will not be as easy to hide as one may think.
Modified approach
The inframammaryfold, which is an incision that extends between the chest wall and the underlying glandular cells, is called a transverse incision. Multiple layers of absorbable sewn tissue are then used to close the inframammary fold. These sutures extend from the medial and the lateral edges of each breast. The skin disc then moves toward the center of your breasts, returning it to its original position in the nipple/areolar complex. Close the wound with sutures of a smaller gauge.
The incision will be made along the inframammary (which is far from the flap’s edge). In certain instances, special devices may be used to harvest flap fabric, such as an instrument with endoscopic capabilities or a retractors fitted with a lighting system.