Mastopexy and Breast Reduction: Principles and Practice

Cover......Page p0001.djvu
Foreword......Page p0005.djvu
Preface......Page p0006.djvu
Contents......Page p0007.djvu
1.3 Parenchyma......Page p0030.djvu
1.6 Arterial Supply......Page p0031.djvu
1.8 Innervation......Page p0032.djvu
1.10 Nipple–Areola Complex......Page p0033.djvu
2.4 Explanation of Possible Risks......Page p0035.djvu
References......Page p0036.djvu
3.2 The SOS (Sitting, Oblique, Supine) Marking Technique......Page p0037.djvu
References......Page p0042.djvu
4. Prediction of Weight in Breast Reduction Surgery......Page p0043.djvu
References......Page p0044.djvu
5.3 Methods......Page p0046.djvu
5.5 Results......Page p0047.djvu
5.6 Discussion......Page p0049.djvu
References......Page p0050.djvu
6.1 History......Page p0052.djvu
6.2 Psychosocial Aspects......Page p0056.djvu
References......Page p0057.djvu
7.3 Postoperative Mammograms Following Cosmetic Breast Surgery......Page p0059.djvu
7.4.2 Breast Reduction......Page p0060.djvu
References......Page p0061.djvu
8.3 Early Techniques......Page p0063.djvu
8.4 Evolution of the Modern Approach......Page p0064.djvu
8.5 Current Concepts......Page p0065.djvu
References......Page p0066.djvu
9.3 Conclusions......Page p0068.djvu
10.3 Technique and Complications......Page p0069.djvu
10.4 Discussion......Page p0070.djvu
11.2 History......Page p0073.djvu
11.3 Anatomy and Technique......Page p0074.djvu
11.4 Technique......Page p0075.djvu
11.6 Discussion......Page p0078.djvu
11.7 Conclusions......Page p0079.djvu
References......Page p0080.djvu
12.3 Technique......Page p0082.djvu
12.4 A Critical Comment on the “Ideal” Breast Shape......Page p0083.djvu
12.6 Discussion......Page p0085.djvu
References......Page p0088.djvu
13.3 Surgical Technique......Page p0090.djvu
13.3.1 Vertical Mastopexy......Page p0091.djvu
13.5 Complications......Page p0102.djvu
13.6 Discussion......Page p0108.djvu
Dedication and Acknowledgments......Page p0110.djvu
References......Page p0112.djvu
14.2.1 Marking......Page p0114.djvu
14.2.2 Operative Technique......Page p0115.djvu
14.3 Complications......Page p0116.djvu
14.4 Discussion......Page p0117.djvu
References......Page p0118.djvu
15.2 History......Page p0120.djvu
15.4.1 Markings and Skin Incision......Page p0121.djvu
15.5 Complications......Page p0123.djvu
15.6 Discussion......Page p0125.djvu
References......Page p0129.djvu
16.2 Technique......Page p0131.djvu
16.3 Complications......Page p0132.djvu
16.4 Discussion......Page p0134.djvu
References......Page p0135.djvu
17.3.2 Photographs......Page p0136.djvu
17.3.8 Incisions and Resection......Page p0137.djvu
17.3.10 Management of the Skin......Page p0138.djvu
17.6.1 Necrosis......Page p0139.djvu
17.7 Discussion......Page p0140.djvu
References......Page p0142.djvu
18.2 History......Page p0143.djvu
18.3.1 Operative Technique for Wise Pattern Mastopexy......Page p0144.djvu
18.3.2 Operative Technique for Vertical Breast Mastopexy......Page p0147.djvu
18.3.3 Operative Technique for Combined Subfascial Mastopexy and Augmentation......Page p0148.djvu
18.4 Complications......Page p0149.djvu
18.5 Discussion......Page p0150.djvu
18.6 Conclusions......Page p0156.djvu
References......Page p0157.djvu
19.4 Technique......Page p0158.djvu
19.7 Conclusions......Page p0160.djvu
20.2 Initial Consultation......Page p0161.djvu
20.3 Preoperative Planning......Page p0163.djvu
20.5 Operative Technique: Mild Ptosis......Page p0166.djvu
20.6 Operative Technique: Moderate Ptosis......Page p0167.djvu
20.7 Operative Technique: Severe Ptosis......Page p0169.djvu
20.8 Complications......Page p0170.djvu
References......Page p0172.djvu
21.2 Marking......Page p0174.djvu
21.3 Selection of the Surgical Technique......Page p0175.djvu
21.5 Lifting the Nipple–Areola Complex......Page p0177.djvu
21.7 Inverted T Pexy......Page p0181.djvu
21.8 Important Considerations......Page p0185.djvu
21.9 Avoiding Complications......Page p0186.djvu
References......Page p0188.djvu
22.4 Surgical Technique......Page p0190.djvu
22.5 Vaser-Assisted Vertical Mastopexy......Page p0191.djvu
22.6 Vaser-Assisted Horizontal Mastopexy......Page p0192.djvu
22.7 Complications......Page p0195.djvu
References......Page p0198.djvu
23.2 Technique......Page p0200.djvu
23.5 Discussion......Page p0201.djvu
References......Page p0204.djvu
24.2.5 Infection......Page p0205.djvu
24.2.7 Pleating......Page p0206.djvu
24.3 Discussion......Page p0207.djvu
Incising the Gland......Page p0208.djvu
25.3.1.1 Plan......Page p0209.djvu
25.3.1.3 Infi ltration......Page p0210.djvu
25.3.1.7 Repair of the Conoid Breast......Page p0211.djvu
25.3.1.11 Suture......Page p0212.djvu
25.5 Conclusions......Page p0213.djvu
26.2.2 Reduction Mammaplasty......Page p0214.djvu
26.2.3 Mastopexy......Page p0217.djvu
26.3.1 Postoperative Ptosis......Page p0218.djvu
26.3.2 Scar......Page p0219.djvu
References......Page p0221.djvu
27.2 Breast Fascia and Sustaining Ligaments......Page p0222.djvu
27.3 Surgical Plan......Page p0226.djvu
27.4 Surgical Procedure......Page p0229.djvu
27.6 Conclusions......Page p0232.djvu
References......Page p0237.djvu
28.2 Surgical Technique......Page p0238.djvu
28.3 Complications......Page p0241.djvu
References......Page p0242.djvu
29.3.1 Marking......Page p0243.djvu
29.3.2 Technique......Page p0244.djvu
29.4 Postoperative Care......Page p0245.djvu
29.6 Conclusions......Page p0246.djvu
30.2 Selection......Page p0247.djvu
30.3 Technique......Page p0248.djvu
30.5 Conclusions......Page p0252.djvu
References......Page p0253.djvu
31.2 History......Page p0254.djvu
References......Page p0256.djvu
32.1 Introduction......Page p0259.djvu
References......Page p0260.djvu
33.3 Technique......Page p0261.djvu
33.5 Discussion......Page p0262.djvu
References......Page p0263.djvu
34.1 Introduction......Page p0264.djvu
34.2 Conclusions......Page p0265.djvu
References......Page p0266.djvu
35.1.3 Outcomes......Page p0267.djvu
35.2.1 Markings......Page p0268.djvu
35.3.1.1 Markings......Page p0269.djvu
35.3.1.2 Technique......Page p0270.djvu
35.4 Technique Modifi cations......Page p0271.djvu
35.5.2 Technique......Page p0272.djvu
References......Page p0273.djvu
36.3.1 Points......Page p0275.djvu
36.3.2 Distances......Page p0276.djvu
References......Page p0288.djvu
37.2 Template-Goniometer......Page p0290.djvu
References......Page p0291.djvu
38.2 Technique......Page p0292.djvu
References......Page p0294.djvu
39.4 Discussion......Page p0295.djvu
References......Page p0297.djvu
40.2 Technique......Page p0298.djvu
References......Page p0300.djvu
41.2 Technique......Page p0301.djvu
41.3 Discussion......Page p0302.djvu
References......Page p0304.djvu
42.4 Positioning of the Patient and the Team......Page p0305.djvu
42.5 Planning......Page p0306.djvu
42.9 Breast Tissue Resection......Page p0307.djvu
42.13 Discussion......Page p0308.djvu
42.14 Conclusions......Page p0309.djvu
References......Page p0311.djvu
43.3 Marking......Page p0313.djvu
43.4 Procedure......Page p0314.djvu
43.5 Discussion......Page p0315.djvu
43.6 Conclusions......Page p0317.djvu
References......Page p0319.djvu
44.2 Technique......Page p0320.djvu
44.3 Conclusions......Page p0321.djvu
References......Page p0325.djvu
45.4 History......Page p0327.djvu
45.5 Preoperative Marking......Page p0328.djvu
45.6 Technique......Page p0329.djvu
45.8 Discussion......Page p0331.djvu
45.9 Conclusions......Page p0332.djvu
References......Page p0333.djvu
46.3.1 For Large Hypertrophy......Page p0335.djvu
46.4.1 For Moderate Hypertrophy, With or Without Ptosis......Page p0340.djvu
46.6 Discussion......Page p0342.djvu
General References......Page p0343.djvu
47.1 Introduction......Page p0344.djvu
47.3 Anatomical Review......Page p0345.djvu
47.5 Operative Technique......Page p0346.djvu
47.6 Appraisal and Complications......Page p0348.djvu
47.7 Discussion......Page p0349.djvu
47.8 Conclusions......Page p0351.djvu
References......Page p0352.djvu
48.3 Technique......Page p0353.djvu
48.5 Discussion......Page p0354.djvu
48.6 Conclusions......Page p0355.djvu
References......Page p0356.djvu
49.2 Technique......Page p0357.djvu
49.3 Results......Page p0359.djvu
49.5 Gynecomastia......Page p0361.djvu
49.6 Conclusions......Page p0362.djvu
50.2 Factors to be Considered......Page p0363.djvu
50.3 Surgical Techniques......Page p0364.djvu
50.4 Why the Supero-Lateral Dermoglandular Technique......Page p0365.djvu
50.5 How it Should be Done......Page p0366.djvu
50.6 Care of Complications......Page p0372.djvu
50.7 Conclusions......Page p0374.djvu
References......Page p0376.djvu
51.2 Surgical Anatomy......Page p0378.djvu
51.3 Preoperative......Page p0379.djvu
51.4 Technique......Page p0380.djvu
51.6 Complications......Page p0381.djvu
51.7 Conclusions......Page p0382.djvu
References......Page p0385.djvu
52.2 Technique......Page p0386.djvu
52.3 Complications......Page p0388.djvu
52.4 Discussion......Page p0389.djvu
References......Page p0391.djvu
53.1.1 Anatomical Considerations......Page p0392.djvu
53.2.1 General Considerations......Page p0393.djvu
53.2.2 Novel Technique for Breast Suspension......Page p0394.djvu
53.2.3 Remainder of the Procedure......Page p0395.djvu
53.3 Discussion......Page p0396.djvu
References......Page p0397.djvu
54.3.1 Preoperative Markings......Page p0398.djvu
54.3.2 Operative Procedure......Page p0399.djvu
54.5 Conclusions......Page p0402.djvu
References......Page p0404.djvu
55.3.1 Width of the Pedicle......Page p0405.djvu
55.4.1 Breast Marking......Page p0406.djvu
55.5 Operative Procedure......Page p0407.djvu
References......Page p0408.djvu
56.3 Preoperative Markings......Page p0410.djvu
56.4 Operative Technique......Page p0411.djvu
56.6.2 Periareolar Closure......Page p0414.djvu
56.7 Results......Page p0415.djvu
References......Page p0416.djvu
57.3 Complications......Page p0418.djvu
57.4 Discussion......Page p0419.djvu
References......Page p0422.djvu
58.4 Surgery......Page p0423.djvu
58.5 Postoperative Care......Page p0425.djvu
Reference......Page p0427.djvu
59.3 After Strömbeck......Page p0428.djvu
59.4 Sir Harold Gillies......Page p0429.djvu
59.5 Preoperative Marking......Page p0430.djvu
59.6 Surgical Technique......Page p0434.djvu
59.9 Conclusions......Page p0435.djvu
References......Page p0437.djvu
60.2 History......Page p0438.djvu
60.4 Applied Anatomy: Blood Supply and Innervation......Page p0439.djvu
60.7.1 Preoperative Markings......Page p0440.djvu
60.7.2 Operative Technique......Page p0441.djvu
60.7.3 Creation of the Pedicles......Page p0442.djvu
60.8 Tissue Resection......Page p0443.djvu
60.10 Skin Closure......Page p0444.djvu
60.11 Discussion......Page p0445.djvu
60.13 Conclusions......Page p0448.djvu
References......Page p0450.djvu
61.2 Technique......Page p0452.djvu
61.3 Discussion......Page p0456.djvu
References......Page p0457.djvu
62.3 Technique......Page p0458.djvu
62.6 Discussion......Page p0463.djvu
62.7 Conclusions......Page p0466.djvu
References......Page p0468.djvu
63.2 Surgical Technique......Page p0469.djvu
63.4 Discussion......Page p0471.djvu
References......Page p0473.djvu
64.6 Skin Incision Markings......Page p0474.djvu
64.9 Clinical Application......Page p0476.djvu
64.11 Conclusions......Page p0480.djvu
References......Page p0481.djvu
65.4 Marking......Page p0482.djvu
65.5 Surgery......Page p0483.djvu
65.6 Complications......Page p0484.djvu
65.7 Discussion......Page p0485.djvu
References......Page p0486.djvu
66.3 History and Physical Examination......Page p0487.djvu
66.4 Technique......Page p0489.djvu
66.6 Conclusions......Page p0491.djvu
References......Page p0492.djvu
67.4 Complications......Page p0494.djvu
References......Page p0496.djvu
68.2 Surgical Technique......Page p0497.djvu
68.3 Discussion......Page p0498.djvu
References......Page p0501.djvu
69.2.2 Minimizing Scarring in Breast Reduction......Page p0503.djvu
69.2.4 The Development of Various Methods......Page p0504.djvu
69.2.5 Technique (No Vertical Scar Breast Reduction or Boston Modification of the Robertson Technique)......Page p0505.djvu
69.2.6 Applications and Uses......Page p0509.djvu
69.3 Outcomes and Complications......Page p0510.djvu
69.4 Discussion and Other Techniques......Page p0511.djvu
References......Page p0512.djvu
70.1.3 The Bipolar Technique......Page p0514.djvu
70.4 Relevant Geometric Issues, Technical Tips and Clinical Observations......Page p0516.djvu
70.5 Surgical Decision Making Based on Measurements......Page p0518.djvu
70.6 Conclusions......Page p0520.djvu
References......Page p0524.djvu
71.3.2.2 Procedure......Page p0525.djvu
71.3.2.3 Tuberous Breast Reconstruction......Page p0526.djvu
71.4 Results......Page p0527.djvu
71.6 Discussion......Page p0529.djvu
References......Page p0533.djvu
72.4 Vascular Anatomy of the Breast......Page p0534.djvu
72.5 Preoperative Markings......Page p0535.djvu
72.7 Complications......Page p0536.djvu
72.8 Aesthetic Considerations......Page p0537.djvu
References......Page p0539.djvu
73.3 Patient Selection......Page p0541.djvu
73.5 Postoperative Care......Page p0542.djvu
73.8 Discussion......Page p0543.djvu
References......Page p0546.djvu
74.3.1 Patient Selection......Page p0547.djvu
74.5 Discussion......Page p0548.djvu
References......Page p0551.djvu
75.5 Infiltration......Page p0553.djvu
75.8 Probes......Page p0554.djvu
75.10 Subcutaneous UAL Undermining......Page p0556.djvu
75.12 Clinical Results......Page p0557.djvu
75.14 Histological Changes......Page p0558.djvu
75.15 Marking......Page p0559.djvu
75.16.3 Hematoma......Page p0561.djvu
75.16.5 Seroma......Page p0562.djvu
75.16.6 Selectivity and Specificity of Ultrasound......Page p0563.djvu
75.16.8 Potential Risks......Page p0565.djvu
References......Page p0566.djvu
76.2.4 Excessive Breast Reduction......Page p0568.djvu
76.2.9.1 Community-Acquired Methicillin-ResistantStaphylococcus aureus (CA-MRSA)......Page p0569.djvu
76.2.9.4 Prevention and Management......Page p0570.djvu
76.2.10 Necrosis......Page p0571.djvu
76.2.14 Retained Excess Areola......Page p0572.djvu
76.2.19 Steroid Fat Atrophy......Page p0573.djvu
References......Page p0574.djvu
77.5 Late Sequelae......Page p0576.djvu
77.5.3 Areolar Depigmentation......Page p0578.djvu
77.5.9 Hypomastia......Page p0579.djvu
77.6 Discussion......Page p0580.djvu
References......Page p0582.djvu
78.2 History......Page p0583.djvu
78.3 Discussion......Page p0584.djvu
References......Page p0585.djvu
79. Alteration of Nipple and Areola Sensitivity by Reduction Mammaplasty......Page p0587.djvu
79.1 Discussion......Page p0592.djvu
References......Page p0593.djvu
80.2 Technique......Page p0595.djvu
80.4 Conclusions......Page p0597.djvu
References......Page p0598.djvu
81.3 Discussion......Page p0599.djvu
References......Page p0601.djvu
82.3 Discussion......Page p0602.djvu
References......Page p0603.djvu
83.3 Technique......Page p0604.djvu
83.5 Complications......Page p0605.djvu
83.6 Conclusions......Page p0606.djvu
References......Page p0607.djvu
84.3 Problems that May Occur and Require Revision......Page p0608.djvu
References......Page p0611.djvu
85.1 Introduction......Page p0612.djvu
85.2 Pathophysiology......Page p0613.djvu
85.3.2 Case 2......Page p0615.djvu
References......Page p0617.djvu
86.2.2 Examination......Page p0618.djvu
References......Page p0619.djvu
87.2 Clinical Studies......Page p0620.djvu
87.3 Breast Reduction and Cancer: Incidental Findings and Intentional Treatment......Page p0625.djvu
87.4 Breast Reduction as First Choice Oncologic Procedure......Page p0627.djvu
87.5 Discussion......Page p0628.djvu
References......Page p0629.djvu
88.1 Introduction......Page p0630.djvu
88.2.1 Family/Past Medical History......Page p0631.djvu
88.2.2 The Clinical Exam......Page p0632.djvu
88.2.3 Mammography......Page p0633.djvu
88.2.6 Risk Groups......Page p0634.djvu
88.2.8 Techniques for Tissue Marking......Page p0635.djvu
88.2.9 Histopathology......Page p0637.djvu
References......Page p0641.djvu
89.2.2 Bipedicle Vertical Flap without Adrenaline [5]......Page p0643.djvu
89.3 Discussion......Page p0644.djvu
References......Page p0646.djvu
90.3 Complications......Page p0647.djvu
90.4 Discussion......Page p0648.djvu
90.5 Conclusions......Page p0649.djvu
References......Page p0650.djvu
91.3.1 Definition......Page p0651.djvu
91.7 Medical Record......Page p0652.djvu
91.10 Legal Cases......Page p0653.djvu
91.11 Discussion......Page p0655.djvu
Reference......Page p0656.djvu
92.3 Breast Reduction......Page p0657.djvu
92.4 Discussion......Page p0658.djvu
Subject Index......Page p0659.djvu