Focus on the breast fascial system: A new approach for inframammary fold reconstruction

Maurizio Nava, Pasquale Quattrone, Egidio Riggio

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

Anatomists and surgeons have underestimated the importance of understanding the anatomic connective frame of the inframammary region. The submammary fold does not originate as a self-governing unit but depends on breast mould and on a fine superficial fascial system suspension. The authors investigated the inframammary fold anatomy and subcutaneous breast territory in cadaver and live dissection with histologic analyses, without sharing the theories about superficial fascia splitting and inframammary ligament existence. The authors have understood that a reliable and fine correction of inframammary fold contour in breast reconstruction may only be achieved by an empirical surgical procedure that exclusively concerns the restoration of the superficial fascial system. The literature on this subject is reviewed. Fascial anchoring surgery, after capsulotomy and superficial fasciotomy, without lower thoracic advancement flap or deep subcutaneous undermining, was performed for 100 breast reconstructions after biodimensional device programming. Technique and results are also discussed.

Original languageEnglish
Pages (from-to)1034-1045
Number of pages12
JournalPlastic and Reconstructive Surgery
Volume102
Issue number4
DOIs
Publication statusPublished - 1998

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Mammaplasty
Breast
Anatomists
Subcutaneous Tissue
Cadaver
Ligaments
Dissection
Anatomy
Suspensions
Fungi
Thorax
Equipment and Supplies
Fasciotomy
Surgeons

ASJC Scopus subject areas

  • Surgery

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Focus on the breast fascial system : A new approach for inframammary fold reconstruction. / Nava, Maurizio; Quattrone, Pasquale; Riggio, Egidio.

In: Plastic and Reconstructive Surgery, Vol. 102, No. 4, 1998, p. 1034-1045.

Research output: Contribution to journalArticle

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