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

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.