Fig. 3

a Patient in the supine position with Wise pattern markings. The whole extent of the markings is de-epithelialised for the inferior dermoglandular flap. b Illustration showing a lateral view of an inferiorly based de-epithelialised dermoglandular flap with implants in situ. c, d An inferiorly based flap on the right breast following explantation. Full thickness inferior dermoglandular flap is incised and partially sutured to the pectoralis major, all along its extensions. e–f Illustration showing inverted T closure following internalisation and closure of the inferiorly based dermoglandular flap