Anatomical study of the breast superficial fascial system: the inframammary fold unit

Anatomical study of the breast superficial fascial system: the inframammary fold unit The subcutaneous fascial system of the breast was investigated. The aim was to demonstrate splitting of the superficial fascia and the existence of an inframammary ligament. The inframammary region was studied in six cadavers (12 breast dissections) and in 21 patients during breast surgery (12 surgical and nine histological investigations). The superficial fascial system is related to sex, age, breast size, weight and adiposity. In females, the inframammary fold depends on the situation of the superficial fascia which, without true splitting, becomes deeper due to an absence of fat in the deep subcutaneous space, and on more adherence to the deep fascia through thickened retinaculum; there is a connective band, the anterior breast capsule, erroneously called ”superficial layer of the superficial fascia,” and mistaken for ”inframammary ligament”, which detaches from the superficial fascia. In males, there is a zone of adherence only at the inframammary midline. The microstructure of the breast fascial system at the inframammary region is demonstrated histologically. Surgical implications are suggested. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Anatomical study of the breast superficial fascial system: the inframammary fold unit

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Publisher
Springer-Verlag
Copyright
Copyright © 2000 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380000163
Publisher site
See Article on Publisher Site

Abstract

The subcutaneous fascial system of the breast was investigated. The aim was to demonstrate splitting of the superficial fascia and the existence of an inframammary ligament. The inframammary region was studied in six cadavers (12 breast dissections) and in 21 patients during breast surgery (12 surgical and nine histological investigations). The superficial fascial system is related to sex, age, breast size, weight and adiposity. In females, the inframammary fold depends on the situation of the superficial fascia which, without true splitting, becomes deeper due to an absence of fat in the deep subcutaneous space, and on more adherence to the deep fascia through thickened retinaculum; there is a connective band, the anterior breast capsule, erroneously called ”superficial layer of the superficial fascia,” and mistaken for ”inframammary ligament”, which detaches from the superficial fascia. In males, there is a zone of adherence only at the inframammary midline. The microstructure of the breast fascial system at the inframammary region is demonstrated histologically. Surgical implications are suggested.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Aug 18, 2000

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