Eur J Plast Surg (2004) 27:262–263 DOI 10.1007/s00238-004-0653-7 LE TT ER TO T H E E DITOR D. German · I. Pezzini · F. De Biasio · P. C. Parodi Received: 19 February 2004 / Accepted: 8 June 2004 / Published online: 27 August 2004 Springer-Verlag 2004 Sir: The esthetic quality of a postmastectomy breast re- reduced curvature, while the rotation of the suture occurs construction is closely linked with the definition of an at the level of the thoracic cage, where the costal angles of inframammary fold symmetric to the contralateral one. curvature are on average of 30. In this case the tradi- The new techniques of skin-sparing mastectomy, preserv- tional needle holders are not able to facilitate the suturing ing the skin and the fascial system of the natural infra- maneuvers through a passage of small dimensions be- mammary fold, have certainly reduced the number of cause their rectilineal course clashes with the natural reconstructions in which the surgical creation of a neofold curvature of the thoracic cage and requires difficult and is necessary. In many cases, however, it is still necessary unnatural movements. to restore the anatomical definition of this particular For this reason we have
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2004
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