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.

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.

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.

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.

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.

Comprehensive and fully up to date, the six-volume Plastic Surgery remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both the trainee and experienced surgeon, Breast, Volume 5 of Plastic Surgery, 5th Edition, features new, full-color clinical photos, procedural videos, lectures, and authoritative coverage of hot topics in the field. Editor-narrated video presentations offer a step-by-step audio-visual walkthrough of techniques and procedures. New chapters cover composite breast augmentation (fat and implants), mastopexy after massive weight loss, breast implant illness, and management options for gender affirmation surgery of the breast; coverage throughout includes new, pioneering translational work shaping the future of breast plastic surgery. New digital video preface by Dr. Peter C. Neligan addresses the changes across all six volumes. New treatment and decision-making algorithms added to chapters where applicable. New video lectures and editor-narrated slide presentations offer a step-by-step audiovisual walkthrough of techniques and procedures. Evidence-based advice from an expanded roster of international experts allows you to apply the very latest advances in breast plastic surgery and ensure optimal outcomes. Purchase this volume individually or own the entire set, with the ability to search across all six volumes online!

This volume in the Techniques in Aesthetic Plastic Surgery Series gives you the very latest on the hottest areas in aesthetic breast surgery. Generously illustrated with many color operative photographs, line drawings and cases, the book focuses on the newest techniques and how to use them to get the best possible results. Positioning, marking, alternative options, surgical pitfalls and expert tips, tricks, and comments are presented in clear, clinical terms. Each portable volume is augmented with a fully searchable DVD containing video clips of key procedures, performed by experts as well as operative tricks and hints. Contains detailed full-color illustrations for clear visual guidance to each operative step. Includes a DVD with video clips of key procedures performed by an expert so you can see them performed in real time. Discusses common pitfalls to help you improve the quality of your technique. Features experts' "tricks of the trade" so you can learn the best approach to getting the optimal results. Provides international authorship for true breadth and depth of knowledge. Uses a consistent format, style, and approach throughout to make finding information easier. Includes coverage of implant selection, breast reduction, augmentation tips and tricks, and fat injections.