Shaping The Breast

This book fills the gap for lack of a precise roadmap to approach the fundamentals of implant-based breast surgery to achieve optimal results. Despite the vast number of publications on breast surgery, there is a deficit in easy to process yet detailed source of information which brings all of the concepts together. With observation, surgical experience, and better devices the approach to implant-based breast surgery must evolve from “volumizing” the breast to “shaping” the breast. In a concise and accessible fashion, Shaping the Breast covers the best practices in breast surgery covering topics of primary augmentation, augmentation mastopexy, composite augmentation, revision breast surgery and breast reconstruction. In a methodical and logical approach, it provides the successful pillars for reproducible outcomes which includes patient assessment, biodimensional planning, surgical techniques and patient care along with pearls and pitfalls. It includes dozens of before and after images alongside case studies to illustrate the management of variety of complex issues.

Multi-Level Mammaplasty focuses on the modification of the Lassus technique, adjusted for the use in breasts of all shapes and sizes. This method relies on an upper pedicle relative to the areola and involves a lower central breast reduction, glandular shaping, and suturing. The tradeoff is that in order to ensure a fine-line peri-areolar scar, a vertical extension is added. However, this vertical scar fades over time and is partly obscured by the breast. The submammary horizontal scar, typical of the inverted T incision, is avoided through progressive gathering of the breast tissue during the reconstruction of the breast mound, precisely through trimming of the excess skin for a short, tension-free vertical suture. Moreover, the peri-areolar suture is not disturbed by the vertical suture with unnecessary tension. Still, in the larger breast, the vertical scar may extend to the chest wall. We accept this tradeoff and discuss it with our patients before surgery. In this book, the authors present evidence to demonstrate that the Borenstein multi-level mammaplasty technique is safe and allows the precise reshaping of the breast with long-lasting results. Its advantages largely compensate for the addition of the vertical limb to the peri-areolar scar.

Core Procedures in Plastic Surgery, edited by Drs. Peter C. Neligan and Donald W. Buck, II, is a one-of-a-kind medical reference book designed to help you master the 20 most in-demand operative techniques from Plastic Surgery, 3rd Edition - the definitive 6-volume masterwork in plastic and reconstructive surgery. Quick-access bulleted procedures, photos, and online videos provide the high-yield, highly visual guidance you need to perform these procedures confidently and achieve optimal outcomes. The result is a must-have for every plastic surgeon's library! Master 20 essential plastic surgery procedures including open and closed rhinoplasty, abdominal wall reconstruction, expander/implant reconstruction of the breast (including latissimus dorsi technique), local flaps for facial coverage (including cheek and lip reconstruction), cleft lip and cleft palate repair, flexor tendon reconstructions, and more. Depend on the preeminent authority that has made Dr. Neligan's Plastic Surgery, 3rd Edition the most trusted reference in plastic surgery. Review techniques quickly and easily thanks to a highly templated, bulleted format. See what to look for and how to proceed by viewing full-color photos throughout. Access the complete content and procedural videos online at Expert Consult.

Discussing the most current and pioneering techniques in breast reconstruction without the use of implants, this is the volume every breast surgeon has been waiting for. Focusing not only on how to reconstruct breasts following mastectomy but also on how to achieve the highest degree of aesthetic success possible, Dr. Kroll describes in detail his techniques in using autologous tissue. Over 500 photographs and custom illustrations demonstrate and compare the different techniques used in breast reconstruction with autologous tissue such as conventional TRAM flaps, free TRAM flaps, the extended latissimus dorsi myocutaneous flap, and the Rubens fat pad free flap. Also include are chapters on immediate and delayed reconstructions, shaping the breast mound, nipple and areolar reconstruction and choice of technique, follow-up and patient selection.

Breast augmentation paired with mastopexy is often regarded as a challenging procedure since it is essentially two surgeries in one. Because of the complexity of the dual procedure, as well as the careful planning required, many doctors avoid performing these surgeries together, instead preferring their patient to undergo two separate surgeries.These two procedures can be safely performed with methodical planning and intra operative execution. This book provides not only insight and instruction on a variety of mastopexy procedures and accompanying types of breast augmentation, but it will also help the clinician determine the optimal surgery for each individual patient. Primarily meant for practicing aesthetic plastic surgeons, Augmentation Mastopexy -- Mastering the Art in the Management of the Ptotic Breast will also find use among plastic surgery fellows and plastic surgery residents. Unlike some of the competitive literature that briefly touches on the topic or simply provides an overview, the information provided is methodical and comprehensive, providing a wealth of color images to accompany the techniques described. Case studies with long-term follow up are also included, offering not only an understanding of potential pitfalls but a veritable how-to for handling complications when they do arise.

The Dow Corning case raised serious questions about the safety of silicone breast implants and about larger issues of medical device testing and patient education. Safety of Silicone Breast Implants presents a well-documented, thoughtful exploration of the safety of these devices, drawing conclusions from the available research base and suggesting further questions to be answered. This book also examines the sensitive issues surrounding women's decisions about implants. In reaching conclusions, the committee reviews: The history of the silicone breast implant and the development of its chemistry. The wide variety of U.S.-made implants and their regulation by the Food and Drug Administration. Frequency and consequences of local complications from implants. The evidence for and against links between implants and autoimmune disorders, connective tissue disease, neurological problems, silicone in breast milk, or a proposed new syndrome. Evidence that implants may be associated with lower frequencies of breast cancer. Safety of Silicone Breast Implants provides a comprehensive, well-organized review of the science behind one of the most significant medical controversies of our time.

Featuring more than 1,100 full-color and black-and-white illustrations, this volume demonstrates and explains the problems encountered after reconstructive and aesthetic breast surgery and breast cancer reconstruction and the most successful methods for correcting these problems. Each chapter begins with a pictorial analysis of the problem, a discussion of what caused it, and, where possible, suggestions on how it might have been avoided initially. The author then describes the plan for revision surgery, details the actual procedure, and examines postoperative outcomes.