One stage breast reconstruction following prophylactic mastectomy for ptotic breasts: The inferior dermal flap and implant
Journal of Plastic, Reconstructive & Aesthetic Surgery, 05/18/2012
Clinical Article
Ross GL – The inferior dermal flap and implant provides a one–stop reconstructive option. It is reliable, safe and maintains the breast envelope while giving excellent size, shape and symmetry in the larger ptotic patient.
Methods- The inferior dermal flap and implant was performed on ten patients (20 breasts).
- Average age was 43 (range 36–53).
- The average BMI was 37 (range 32–43). The distance from nipple to IMF varied from 15 cm to 26 cm.
- The average implant size was 533 (range 390–620).
- Complications were minimal with one patient experiencing delayed wound healing at the T–junction and one patient developing inferior pole erythema postoperatively that settled with antibiotics.



