This truly is an outstanding text on evaluating problems in breast surgery, formulating a plan to fix them, and implementing that plan carefully and thoroughly for the desired optimal solution. — BIZ INDIA
Problems in Breast Surgery: A Repair Manual is destined to become a valued part of every plastic surgeon and breast surgeon’s library. This unique book provides a virtual lifeline for addressing the challenges encountered in aesthetic and reconstructive breast surgery and avoiding possible problems and complications. This is not a traditional technique-oriented textbook; rather, it has a problem focus and provides different solutions for solving complex problems associated with secondary breast surgery.
The book begins with chapters on the basic principles of corrective breast surgery and the key anatomic factors and mechanisms of failure that are key to accurate analysis. With this foundation in place, it proceeds to address the spectrum of potential problems that can occur with each of the different procedures, ranging from breast augmentation, reduction, and mastopexy to breast and nipple-areola reconstruction. Each chapter is introduced with a specific problem presented by Drs. Fisher and Handel. Then the second portion of the chapter features a variety of solutions from different experts for treating the problem. These experts provide case examples of similar problems with a step-by-step explanation of how they solved these problems and why they took the approach that they used. The book covers both aesthetic and reconstructive breast surgery.
The goal of this text is not to judge which solution is the best (that decision is left to the reader). Rather, it is designed to provide a detailed road map explaining how to move from point A, the problem, to point B, the solution.
Beautifully Illustrated
Dramatic color illustrations and numerous preoperative, intraoperative, and postoperative images help readers visualize the steps of each operative solution.
Unique Features
This book’s approach is unique and should be of great educational value to surgeons-both residents and practitioners-in solving challenging problems and complications. Even more important, it will help them avoid problems and complications in future cases.
Daftar Isi
Part I: Fundamentals
1. A Reader’s Guide to Problems in Breast Surgery: A Repair Manual
2. The Art of Analysis: Mechanisms of Failure and Key Anatomic Factors
Part II: Problems in Augmentation Mammaplasty
Section One: Postoperative Complications
3. Periprosthetic Infection After Augmentation
4. Late Seroma After Augmentation
5. Capsular Contracture After Augmentation
6. Impending Implant Exposure/Extrusion
7. Deflated Saline Implants
8. Intracapsular Rupture and Gel Bleed
9. Extracapsular Rupture, Gel Migration, and Silicone Injections
10. Implant Rotation With Shaped Implants
11. Special Problems: Malignancy After Augmentation
Section Two: Suboptimal Aesthetic Outcomes
12. Implant Malposition
13. Synmastia Repair
14. Double-Bubble Deformity
15. Upper Pole Deficiency or Contour Deformity
16. Inferior Pole Stretch Deformity
17. Animation Deformity Associated With Subpectoral Implants
18. Overaugmented Breast
19. Ptosis in Previously Augmented Breasts
20. Asymmetries in Previously Augmented Breasts
21. Explantation
Part III: Problems in Mastopexy and Augmentation-Mastopexy
Section One: Postoperative Complications
22. Ischemia of the Nipple-Areola Complex
23. Compromised Skin Flaps
Section Two: Unsatisfactory Aesthetic Outcomes
24. Nipple Malposition
25. Unsatisfactory Scarring
26. Spreading of the Areolae
27. Recurrent Ptosis
28. Flattening or Loss of Upper Pole Fullness
29. Inferior Stretch Deformity and Bottoming Outcomes
30. Revision in Bariatric Patients of Unsuccessful Outcomes After Mastopexy or Augmentation-Mastopexy
Part IV: Problems in Reduction Mammaplasty
Section One: Postoperative Complications
31. Ischemia of the Nipple, Areola, and/or Skin Flaps
Section Two: Suboptimal Aesthetic Outcomes
32. Overresection of Breast Tissue
33. Underresection of Breast Tissue
34. Nipple Malposition
35. Bottoming Out
36. Unsatisfactory Shape or Contour
Part V-A: Problems in Breast Reconstruction With Prosthetic Devices
Section One: Postoperative Complications
37. Infection After Breast Reconstruction
38. Capsular Contracture After Breast Reconstruction
39. Implant and Expander Malposition
40. Failed Expander/Implant Reconstruction
Section Two: Suboptimal Aesthetic Outcomes
41. Asymmetry
42. Unsatisfactory Shape or Contour
Part V-B: Problems in Breast Reconstruction With Autologous Tissue
Section One: Postoperative Complications
43. Ischemic and Necrotic Tissue
44. Failed Tissue Transfer After Autologous Breast Reconstruction
Section Two: Suboptimal Aesthetic Outcomes
45. Persistent Volume Deficiencies
Part V-C: Deformities Associated With Lumpectomy, Partial Mastectomies, and Radiation
Section: Complications and Suboptimal Aesthetic Outcomes
46. Deformities After Lumpectomy, Radiation, and Breast Reconstruction
Part V-D: Cancer Recurrence After Breast Reconstruction
47. Cancer Recurrence After Implant Reconstruction
48. Cancer Recurrence After Autologous Reconstruction
Part VI: Problems Associated With the Nipple-Areola Complex
Section: Complications and Suboptimal Aesthetic Outcomes
49. Malposition, Asymmetry, Loss of Projection, Overprojection, and Areolar Spreading
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