Aesthetic Surgery Journal Shoelace Breast Cast on Behalf Of: American Society for Aesthetic Plastic Surgery

Implant malposition after breast augmentation surgery remains a common complication. Several surgical options exist to correct the resultant deformity; however, all involve additional risks, costs, and the increased potential for patient dissatisfaction. In my practice, I have developed a nonsurgical therapy using shoelaces, which, when tied and placed in a certain fashion, can correct this deformity. When worn continuously, the shoelaces act as an external breast cast that allows the inframammary fold to be set and heal in the correct position. I have achieved great success in using this nonsurgical technique, and it allows me to be aggressive in cases where I need to raise the inframammary fold because I know that I can easily correct if the fold is lowered too much. keywords augmentation mammaplasty, implant malposition, breast asymmetry, breast cast, shoelace therapy, double-bubble deformity Accepted for publication December 18, 2013. Scan this code with your smartphone to see the operative video. Need help? Visit www.aestheticsurgeryjournal.com. by Alexander Ereso on July 30, 2014 aes.sagepub.com Downloaded from