Incision Line in the Case of Submammary Access

■ The incision lines are marked on the evening before surgery or on the morning of the operation with the patient standing upright. First the jugulum is marked, then the midline down to the xiphoid and the navel. Next the cranial boundaries of the mammary glands are marked by pushing the breast upwards with the palm of the hand. Depending on the intended degree of augmentation, the incision line is made either at the level of the inframammary fold or a corresponding 1-3 cm lower. The medial incision boundary should not extend beyond the medial boundary of the nipple. The incision line is normally 3-4 cm and runs, swinging slightly, precisely in the line that will subsequently be the inframammary fold. It may be positioned slightly higher, but should never be too low, i.e., underneath the inframammary fold, since the incision could be seen when wearing a bikini.

■ From the medial margin of the nipple, a line is drawn in a caudal direction. This vertical marking line may not be exceeded by the incision in a medial direction, since this scar region may be visible.

Inframammary Fold

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