The inframammary fold (IMF) is the most critical visual landmark that affects final aesthetic outcome of augmentation mammoplasty and even post-mastectomy alloplastic breast reconstruction. Unfortunately, structural integrity of this landmark is greatly overlooked and very often neglected. In this landmark publication, entitled “Myth-busting the DIEP Flap and An Introduction to the Abdominal Perforator Exchange (APEX) Breast Reconstruction Technique: A Single-Surgeon Retrospective Review,” lead author, Dr. Frank J. DellaCroce, exposes little-known problems with popular reconstructive procedures for women facing mastectomy.
The primary goal of breast reconstruction is to recreate form and symmetry by correcting the anatomic defect while preserving patient safety and health. The primary reconstructive options involve the use an implant (usually with an expander ﬁrst), the patient’s own tissue (autogenous tissue reconstruc-. Them inframammary fold (IMF) is a critical component of the breast footprint and landmark in breast reconstruction. Significant disruption of the IMF profoundly impacts the overall aesthetic quality of reconstructed breasts and often requires secondary revision. 1, 2 Utilizing 3-dimensional (3D) imaging, we objectively analyze long-term outcomes following the Ryan procedure in secondary breast reconstruction.
Breast reconstruction often involves multiple procedures performed in stages and can either begin at the time of mastectomy or be delayed until a later date. Allergan Biocell Device Withdrawal Information. Breast reconstruction generally falls into two categories: implant-based reconstruction or flap reconstruction. Implant reconstruction. Breast reconstruction can help restore the look and feel of the breast after a mastectomy. The surgery is done by a plastic surgeon. Timing of breast reconstruction Breast reconstruction can be done at the same time as the mastectomy ("immediate") or at a later date ("delayed").