The transplantation of autologous adipose tissue is a simple and effective solution for many immediate or delayed postoperative complications, such as for defining the
inframammary fold, correcting profile asymmetry, or filling neobreast defects.
The mammographer gently pulls the abdominal tissue down to open the
inframammary fold. The central ray should be directed from the lateral to the medial aspect, centered midway between the superior and inferior portions of the breast.
In descending order of involvement, it can occur on the skin of the axillary, inguinal, perianal and perineal regions, the
inframammary fold and the intermammary cleft, the buttocks and the pubic region, the torso, the scalp, the retroauricular region, and the eyelid.
However, it was the German Dieffenbach who precisely described performing a lower pole breast reduction by excising the lower two-thirds of the breast and its posterior segment whilst hiding the scar in the
inframammary fold. (1)
Synthetic meshes are safe and have aesthetic benefits similar to those obtained with ADMs (improved
inframammary fold definition, enhanced lower pole shape and projection) without the drawbacks of high cost and local policy restrictions.
For symmastia correction, the lower web-like soft tissue was removed from the overlying presternal skin and subdermal sutures were applied along the
inframammary fold with 3-0 polydioxanone sutures on each side through reduction mammoplasty.
Skin biopsy specimens were taken from the
inframammary fold and abdomen.
The intervention involves identifying a patient's points of maximum pain or tenderness, usually located laterally along the midaxiUary line or at the
inframammary fold directly below the nipple.
