Repositioning the inframammary fold after DIEP flap reconstruction: using biologic mesh to provide a more stable result

Abstract

Traditional techniques for elevating the inframammary fold (IMF) position have relied mainly on isolated sutures to maintain the repositioned fold. Furthermore, most published reports focus on implant-based reconstructions, rather than the unique challenges of revising autologous reconstruction. Therefore, to improve the durability of the IMF repair in the autologous reconstructed breast, we have developed a method which utilizes biologic mesh to distribute the forces over a greater area of the chest wall. In our initial experience using this technique to elevate the IMF during revisions of autologous tissue breast reconstructions, we have found it to provide a stable and long-lasting result that can improve symmetry when the IMF position is not ideal.