New technique of dissection of internal mammary vessels for breast reconstruction.

Background: Although internal mammary vessels are considered the best recipients for free flap breast reconstruction, they present the notable drawback of limited accessibility. The aim of this study was to develop a minimally invasive surgical technique for the dissection of internal mammary vessels as recipients for breast reconstruction.

Methods: From 2008 to 2018, we performed 32 unilateral microsurgical breast reconstructions (mean patient age: 40.

Small refinements in breast reconstruction: a technique for inframammary fold creation.

Background: In breast reconstructive surgery, the inframammary fold (IMF) is an essential component of breast identity. The lack of the IMF following previous mastectomy requires restoration. We have developed a new IMF reconstruction technique using the posterior sheet (PS) of the expander capsule.