Figure 1).

Consecutive steps of the ‘minimal incision’ inframammary augmentation technique. A Injection of tumescent solution through a 3 mm stab incision; B Dissection to penetrate into the muscular plane made up of the serratus anterior, the external oblique and the pectoralis major muscles; C Introduction of a metallic abdominal suction instrument (the ‘metal finger’) for pocket dissection and palpation; D Introduction of the folded implant using a thin, narrow, right-angled retractor; E Final dissection adjustments of the remaining tight or irregular areas of the pocket are performed with the metal finger, after the insertion and inflation of the implant; F Wound closure is completed, with a small drain left at the lateral aspect of the wound