Inframammary Fold (IMF) Approach to Subpectoral Breast Augmentation

Abstract

Breast augmentation is the most common aesthetic surgical procedure performed in the United States (http://www.plasticsurgery.org/news/plastic-surgery-statistics/2014-statistics/top-five-cosmetic-surgery-procedures-2014.html). Because of this, adequate preoperative surgical planning, mastery of the intraoperative surgical technique, thorough postoperative care, and ability to recognize potential postoperative complications are vital. In order to address patient goals and expectations, a discussion with your patient regarding the type of implant (silicone vs. saline, smooth vs. textured, anatomic vs. round), location of incision (inframammary, periareolar, transaxillary, transumbilical), and location of implant pocket (subfascial, subglandular, submuscular, subpectoral with dual plane I, II, or III) should take place. Thorough preoperative planning and patient education are essential for an ideal aesthetic result and patient satisfaction (Adams, Plast Reconstr Surg 122:1892–1900, 2008).