Surgery Spotlight looks at Inframammary Fold Subpectoral Breast Augmentation

IN THIS VIDEO, Rod Rohrich, MD performs a breast augmentation using silicone gel implants on a woman who wishes to regain the upper pole fullness she had prior to pregnancy. In this video, Dr. Rohrich discusses the benefits of using the inframammary fold, subpectoral approach with a smooth, round silicone gel implant. He demonstrates the markings for the operation and the rationale behind them, and discusses how breast diameter, base dimension and ptosis play into decision-making for proper implant sizing. During the operation, he demonstrates the elevation of the pectoralis major and the importance of not “over-releasing” the muscle in patients without a lot of breast tissue. He shows the aureolar plane dissection, and discusses his preference in placing implant sizers prior to final implant placement. He also discusses the importance of establishing hemostasis to prevent capsular contracture, his procedure in using triple antibiotic solution after hemostasis has been achieved, and his methodology for closure and post-surgical care.

Dr. Rohrich is a Professor and Chairman of the Department of Plastic Surgery at The University of Texas Southwestern Medical Center. He is a past president of ASPS and former director of the American Board of Plastic Surgery. Dr. Rohrich currently serves as the Editor-in-Chief of the journal Plastic and Reconstructive Surgery, as well as an editor for Selected Readings in Plastic Surgery. In the past ten years, he has been recognized many times as a top doctor in America and Dallas. Dr. Rohrich has a clinical practice at Zale Lipshy University Hospital/UT Southwestern Medical Center and the Tom Landry Sports Center/Baylor University Medical Center in Dallas, Texas.

Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD LibrarySurgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).