Comments on “A Four-Layer Wound Closure Technique with Barbed Sutures for Stable Reset of the Inframammary Fold in Breast Augmentation”

Abstract

It is a well-established fact that the inframammary fold (IMF) is an important anatomical landmark. With breast augmentation, it often needs to be repositioned and secured to its new position to avoid bottoming out deformity and scar displacement. Montemurro et al1 describe a suturing technique using long-lasting and resorbable barbed sutures to stabilize the IMF in the desired position. The barbed suture is used for closure of the first three deep layers whilst a common absorbable monofilament is used for the final epidermal layer to prevent the anchors from interfering with epidermal healing. Advantages of their technique over traditional suturing techniques include speed in execution and better tissue control, with even distribution of tension along the deep suture line and …