(the crease beneath the breast) fold incision is a preferred incision location for breast and plastic surgeons due to its ability to hide any scar.
It is beneficial for the radiologist to know both common and uncommon imaging signs suggestive of implant rupture, the composition of the implants being imaged, surgical approach used (axillary, subareolar, inframammary
, umbilical), history of prior breast implants, and time since placement or revision.
The most common sites of involvement are the axillae, groin, buttocks, and perianal, perineal, mammary, and inframammary
areas, with the axillae most commonly affected.
Some plastic surgeons concurred that there has been a shift in focus away from the top of the breast, which they call the upper pole, to the place where the breast tissue meets the chest wall, referred to by doctors as the inframammary
This technique increases the viable skin for breast reconstruction, preserves the inframammary
fold, and facilitates immediate fluid placement into a tissue expander.
A tab at the 6 o'clock position allows fixation at the inferior pole of the expander to help define and control the location of the reconstructed Inframammary
In young patients the breast glandular tissue is generally lumpy (nodular) and more pronounced in the upper outer region of the breast and inframammary
incisions are not used for the mastectomy because of two potential failures: (1) effective access to remove the whole breast parenchyma including the upper outer quadrant and axillary tail; and (2) the danger of ischaemia of the breast lower pole skin between the inframammary
incision and the nipple.
Typically, the lesions are distributed in the flexures and intertriginous areas, such as the sides of the neck, axilla, inframammary
fold, and groin.
fold) due to more rapid shedding of the stratum corneum (increased moisture, increased warmth, increased friction and lack of adequate aeration) (Porock 1999a).
Acute radiation skin toxicity in breast irradiation occurs in the majority of patients and is more problematic where there is appositional skin, including the inframammary
The axilla and inframammary
fold, commonly sites of the most severe skin injury, receive higher skin doses because these are sites where redundant skin produces a bolus effect and pulls the higher doses up to the skin surface.