La technique du sillon latéral dans la plastie mammaire

Abstract

The mammaplasty is characterized by the non-reliability of the shape achieved at the end of the operation: sometimes a conic shape is expected and a relatively flat breast is obtained. The mammaplasty is also characterized by the lateral slipping of the shape with time, cause of the sad aspect of the breast. The purpose of the lateral fold mammaplasty is to facilitate the creation of the desired shape and to stabilize the evolution of this shape with time. The standard mammaplasty technique can determine the sub-mammary fold; the medial contour with its specific shape is already determined. Those inferior and medial folds are stables. But the lateral contour is usually not defined and very rarely stable with time. This procedure creates a well-defined and stable lateral fold, which is the convex junction between the anterior axillary line and the sub-mammary fold. This new fold is designed by attachment with five sutures of the axillary sub-dermal tissues to the lateral border of the pectoralis major muscle and just beneath, to the 5th costal arch. A medial tension is applied to the axillary flap before suturing to improve the axillary region. Consequently, the breast shape is more predictable and more stable because the lateral, inferior and medial folds are definitely determined. The realization is simple with no specific complication. It could be an additional procedure to any mammaplasty technique.