title: Shoelace Breast Cast.
abstract: 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.
authors.affiliation: Dr Mills is a plastic surgeon in private practice; Dr Ereso is an aesthetic plastic surgery fellow at a private practice; Ms Engle is a research nurse at a private practice; and Ms Cessna is a researcher at a private practice-all in Laguna Beach, California dcm2@danmillsmd.com.
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Mills
authors.affiliation: Dr Mills is a plastic surgeon in private practice; Dr Ereso is an aesthetic plastic surgery fellow at a private practice; Ms Engle is a research nurse at a private practice; and Ms Cessna is a researcher at a private practice-all in Laguna Beach, California.
authors.forename: Alexander Q
authors.initials: AQ
authors.lastname: Ereso
authors.affiliation: Dr Mills is a plastic surgeon in private practice; Dr Ereso is an aesthetic plastic surgery fellow at a private practice; Ms Engle is a research nurse at a private practice; and Ms Cessna is a researcher at a private practice-all in Laguna Beach, California.
authors.forename: Cora
authors.initials: C
authors.lastname: Engle
authors.affiliation: Dr Mills is a plastic surgeon in private practice; Dr Ereso is an aesthetic plastic surgery fellow at a private practice; Ms Engle is a research nurse at a private practice; and Ms Cessna is a researcher at a private practice-all in Laguna Beach, California.
authors.forename: Lauren E
authors.initials: LE
authors.lastname: Cessna
mesh_terms: D000328:Adult; D019928:Breast Implantation / Q000009:adverse effects / Q000295:instrumentation*; D018427:Breast Implants; D005260:Female; D006801:Humans; D010781:Photography; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D013165:Splints; D016896:Treatment Outcome; D055815:Young Adult
keywords: augmentation mammaplasty; breast asymmetry; breast cast; double-bubble deformity; implant malposition; shoelace therapy