The inframammary crease

Abstract

A well-defined inframammary crease and an appropriate areola to inframammary crease distance is arguably the most important component of a pleasing and aesthetically correct breast appearance. Failure to preserve the inframammary crease during breast augmentation surgery creates an unacceptably abnormal breast profile often referred to as a double-bubble appearance or Snoopy deformity, which patients find very disturbing The authors present a technique to reconstruct the inframammary fold. A crease ligament or other condensation of Scarpa's fascia and the posterior capsule of the breast constitutes a well-defined anatomical landmark that can be reconstructed. © 2009 Springer-Verlag.