This is another video from Dr Koppiker from Pune, India omn inferior dermal sling. As mentioned on the previous chapter by Mr Gui, Inferior dermal sling is one of the techniques for implant/expander based reconstruction in ladies that have larger cup size with ptosis. The incision is a Wise-pattern skin reducing mastectomy with or without nipple preservation. the marking of the wise pattern is more conservative with less skin excision that a Mammoplasty so that the wounds closure is not under-tension after putting the expander/implant. The inferior part of the marked area of the skin is de-epithelialised and used to cover the lower pole of the expander/implant, while the pectorals major is raised to cover the upper part to create the pocket.
In the next few videos, Dr Koppiker shows his technique in doing this along with a little clip showing Mastopexy and auto augmentation for symmetrisation.
Chaitanyanand B Koppiker
Orchid Speciality Breast Care Centre
Honorary Lecturer MS-Oncoplastic Surgery
University of East Anglia, Elgland