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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.
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 refinements of vertical scar mammaplasty achieved since the mid 1990s have been collected in this book. The text facilitates the use of the technique and gives each plastic surgeon the opportunity to adopt his or her own technique to obtain an optimal outcome. Step-by-step instructions and illustrations should help improve results.
This comprehensive guide covers all aspects of mastopexy and breast reduction, ranging from anatomy to the variety of procedures in mastopexy, mastopexy/breast reduction, and breast reduction, preoperative care, complications, breast tumors (benign and malignant), and medicolegal aspects.
This book covers an up-to-date review of advances in the management strategies for patients with breast cancer and their co-morbidities. Oncoplasty has become the standard of care for breast conservation surgery and can lead to improving aesthetic outcomes of breast cancer surgery, without compromising oncological outcomes. The goal of the text is to increase the competencies and performance of healthcare professionals involved in treating this patient population, which will ultimately improve the aesthetic outcomes, quality of life and overall survival of patients with breast disease and breast cancer. Written by experts in the field, chapters address a wide range of breast surgery techniques that help the general surgeon provide improved oncologic and aesthetic results for patients. The authors have detailed not only best practice for conventional procedures but also new and evolving techniques. Oncoplastic Breast Surgery Techniques for the General Surgeon serves as a valuable resource not only for medical students but also for the general surgeon seeking to improve results in private practice and for professors learning and teaching new breast surgery techniques.
Accelerated partial breast irradiation (APBI) is being rapidly introduced into the clinical management of early breast cancer. APBI, in fact, encompasses a number of different techniques and approaches that include brachytherapy, intraoperative, and external beam techniques. There is currently no single source that describes these techniques and their clinical implementation. This text is a concise handbook designed to assist the clinician in the implementation of APBI. This includes a review of the principles that underlie APBI, a practical and detailed description of each technique for APBI, a review of current clinical results of APBI, and a review of the incidence and management of treatment related complications.
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.
Apply the most current and up-to-date surgical thinking on aesthetic surgery of the breast to your practice. Hundreds of color illustrations and photographs show you how to perform new and innovative techniques for surgically and artistically augmenting, reshaping, lifting, and reducing the breast. Get expert guidance on all aspects of patient care from evaluation systems for management to a comprehensive strategy for choosing a breast implant to best fit a particular patient. Plus, the DVD of video clips narrated by Dr. Hammond gives you unparalleled insight into the technique of some of today's most successful practitioners. Offers concise, how-to-do-it guidance from a respected author so you can master today's most popular aesthetic procedures. Features hundreds of color photographs that depict which candidates are suitable for each procedure and the results of surgery. Shows anatomy and techniques in superb detail through more than one hundred original surgical illustrations. Includes operations-such as SPAIR mastopexy, vertical breast reduction, gynecomastia excision, and more-performed in real time and narrated by Dr. Hammond on the bonus DVD.
For its third edition, this handbook has been fully revised and rewritten for the renowned Oxford Medical Handbook series. Including comprehensive coverage of all common surgical specialties and operations, it fully integrates practical advice on pre-operative procedure, equipment, step-by step surgical procedures, common techniques, and tips and tricks from over thirty experienced specialist surgeons. With over three hundred detailed practical diagrams and images to assist your understanding and packed with step-by-step, concise, and clear expert advice, you can be confident that this handbook will be your essential guide to all aspects of operative surgery. Providing an overview of modern operative surgical practice the Oxford Handbook of Operative Surgery will enable all surgeons, whether they are just starting out or posessing many years' experience, to prepare fully and be confident in observing, assisting or performing across the wide variety of surgical operations. Fully up to date and reflecting current practice and guidelines, it provides an essential complement to the highly successful Oxford Handbook of Clinical Surgery.