{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:33:50Z","timestamp":1793385230842,"version":"4.5.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tensioned reverse abdominoplasty (TRA) is used for the treatment of upper abdominal laxity. Because the technique directly involves the inframammary region, control of inframammary fold (IMF) position should be considered during surgical planning, as inferior migration of the fold may alter thoracoabdominal proportions, modify breast morphology, and compromise outcome predictability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of the authors was to evaluate the influence of preoperative definition of IMF position on surgical planning in TRA and on the need, indication, and extent of associated breast treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective series included 50 consecutive patients who underwent TRA for aesthetic indications between 2019 and 2024. Preoperative assessment included clinical analysis of IMF position, the relationship between the nipple\u2013areola complex and the fold, and the effects of this relationship on breast morphology and thoracoabdominal proportions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A caudally displaced IMF was identified in 19 patients (38%), exclusively among those with previous breast surgery. Thirty-nine patients (78%) had a history of previous breast surgery. An associated breast procedure was performed in 29 patients (58%). Among patients with a caudally displaced fold, 10 (52.6%) underwent breast-base mastopexy, 8 (42.1%) underwent full mastopexy, and 1 (5.3%) underwent unilateral breast-base mastopexy after declining the indicated bilateral correction. At 12 months, all patients maintained IMF stability, with no secondary inferior migration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Tensioned reverse abdominoplasty provides predictable control of IMF position, establishing an anatomical reference for integrated breast and abdominal planning. Preoperative definition of its position may modify breast assessment and guide the need and extent of associated treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 5 (Therapeutic)<\/jats:title>\n                    <jats:p\/>\n                  <\/jats:sec>","DOI":"10.1093\/asj\/sjag220","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T11:38:20Z","timestamp":1791027500000},"source":"Crossref","is-referenced-by-count":0,"title":["Inframammary Fold Control in Tensioned Reverse Abdominoplasty: an Anatomical Reference for Integrated Breast and Abdominal Planning"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2584-0148","authenticated-orcid":false,"given":"Mauro F","family":"Deos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"2026103014134254800_sjag220-B1","first-page":"462","article-title":"Abdominoplasty through a submammary incision","volume":"62","author":"Rebello","year":"1977","journal-title":"Int Surg"},{"key":"2026103014134254800_sjag220-B2","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1097\/00000637-197905000-00002","article-title":"Mammary reduction combined with reverse abdominoplasty","volume":"2","author":"Baroudi","year":"1979","journal-title":"Ann Plast Surg"},{"key":"2026103014134254800_sjag220-B3","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1007\/s00266-009-9432-y","article-title":"Management of upper abdominal laxity after massive weight loss: reverse abdominoplasty and inframammary fold reconstruction","volume":"34","author":"Agha-Mohammadi","year":"2010","journal-title":"Aesthetic Plast Surg"},{"key":"2026103014134254800_sjag220-B4","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1097\/SAP.0b013e31815f6fb9","article-title":"The reverse abdominoplasty: a report of seven cases and a review of English-language literature","volume":"61","author":"Halbesma","year":"2008","journal-title":"Ann Plast Surg"},{"key":"2026103014134254800_sjag220-B5","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1097\/00006534-199503000-00010","article-title":"Inframammary crease ligament","volume":"95","author":"Bayati","year":"1995","journal-title":"Plast Reconstr Surg"},{"key":"2026103014134254800_sjag220-B6","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1097\/00006534-200002000-00011","article-title":"Inframammary fold: a histologic reappraisal","volume":"105","author":"Muntan","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"2026103014134254800_sjag220-B7","doi-asserted-by":"publisher","first-page":"1632","DOI":"10.1097\/PRS.0b013e3181ccdb97","article-title":"The three breast dimensions: analysis and effecting change","volume":"125","author":"Hall-Findlay","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"2026103014134254800_sjag220-B8","doi-asserted-by":"publisher","first-page":"2134","DOI":"10.1097\/PRS.0b013e3181bf8353","article-title":"Tensioned reverse abdominoplasty","volume":"124","author":"Deos","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"2026103014134254800_sjag220-B9","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1097\/00006534-199407000-00010","article-title":"Vertical mammaplasty and liposuction of the breast","volume":"94","author":"Lejour","year":"1994","journal-title":"Plast Reconstr Surg"},{"key":"2026103014134254800_sjag220-B10","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/S0094-1298(20)30220-0","article-title":"Breast ptosis. 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