100 questions & answers about breast surgery

Contents......Page 6
Foreword......Page 10
Preface......Page 12
Acknowledgments......Page 16
Introduction......Page 20
Part One: Breast Surgery......Page 24
1. What is breast surgery?......Page 25
2. In what ways does plastic surgery change the appearance of the breast?......Page 26
3. Why is breast surgery performed?......Page 29
4. Who has breast surgery?......Page 30
5. Why would I want to undergo breast surgery?......Page 32
6. Where do I begin?......Page 33
Part Two: Where to Begin......Page 36
7. Who performs breast surgery?......Page 37
Board-Certified Plastic Surgeons......Page 38
Board-Certified Surgeons......Page 39
8. Are these the only credentials to consider when choosing a doctor?......Page 40
9. Are there other factors to consider in evaluating a physician?......Page 41
Board-Certified Plastic Surgeons......Page 42
Board-Certified Surgeons......Page 43
Referral......Page 44
Research......Page 45
11. What, beyond credentials, should I consider when making a decision on providers?......Page 46
Plastic Surgery of the Breast......Page 47
Surgery to Diagnose or Treat Disease......Page 49
13. What are realistic goals?......Page 50
14. How do I communicate my expectations?......Page 52
15. Why are photographs necessary?......Page 53
16. What is informed consent?......Page 55
Part Three: Breast Surgery and Safety......Page 58
18. What is accreditation and why is it important?......Page 59
Bleeding......Page 61
Embolism......Page 62
Anesthesia......Page 63
20. Why will I need a physical, blood work, or pre-surgical testing?......Page 64
21. What can I do to reduce my chance of health complications?......Page 65
Smoking\r......Page 67
23. Can I choose where my procedure will be performed?......Page 68
24. What types of anesthesia will be used?......Page 69
25. Can I choose what type of anesthesia will be used?......Page 70
Part Four: Breast Implants......Page 72
26. What are breast implants?......Page 73
27. When are breast implants used?......Page 76
28. What types of breast implants are commonly used?......Page 79
29. When is a pre-filled implant used versus one that is not pre-filled?......Page 82
30. What is the difference between silicone- and saline-filled implants?......Page 83
31. Why were silicone-gel-filled breast implants recalled in the 1990s?......Page 86
32. How do the silicone implants used today differ from those used in the past?......Page 88
33. How do I determine if silicone- or saline-filled, or any implants are right for me?......Page 89
34. Can breast implants cause breast disease or negatively affect my health?......Page 91
35. Can having breast implants cause any form of disease or affect my overall health?......Page 93
36. What are the possible risks of breast implants?......Page 95
37. How is capsular contracture corrected?......Page 98
38. How are leaking or ruptured implants treated?......Page 99
39. Is there any other reason why my implants may need to be replaced?......Page 101
Part Five: Treating Breast Disease......Page 104
40. How does breast surgery treat disease?......Page 105
42. What is a lumpectomy or breast conserving surgery?......Page 107
43. How is a lumpectomy performed?......Page 108
The Surgery Experience......Page 109
Following Surgery......Page 110
Cautions and Considerations......Page 111
Back to Life......Page 112
44. What is a mastectomy?......Page 113
45. How is a mastectomy performed?......Page 114
Good Candidates......Page 115
Surgery Experience......Page 116
Following Surgery......Page 117
Back to Life......Page 119
46. What is a skin-sparing mastectomy?......Page 120
48. Is mastectomy always performed to treat disease?......Page 121
49. What are my rights for insurance coverage for breast surgery to treat disease?......Page 123
Part Six: Breast Reconstruction......Page 126
50. What is breast reconstruction?......Page 127
51. Who is a good candidate for breast reconstruction?......Page 129
52. Who performs breast reconstruction?......Page 130
53. When can breast reconstruction be performed?......Page 131
Radiation Therapy......Page 132
55. What are my options for breast reconstruction?......Page 133
Good Candidates......Page 135
Following Surgery......Page 136
Cautions and Considerations......Page 138
58. What is latissimus dorsi flap reconstruction?......Page 139
Surgery Experience......Page 140
Following Surgery......Page 141
Back to Life......Page 143
Good Candidates......Page 144
Surgery Experience......Page 145
Cautions and Considerations......Page 147
60. What is a free flap reconstruction?......Page 148
Good Candidates......Page 149
Following Surgery......Page 150
Back to Life......Page 151
62. What are my rights for coverage of breast reconstruction?......Page 152
63. Will my reconstructed breast match my other breast?......Page 153
64. What if I choose not to undergo breast reconstruction?......Page 154
Part Seven: Breast Reduction......Page 156
65. What can be done to make my breasts smaller?......Page 157
66. Why would I want to make my breasts smaller?......Page 158
67. Do all women with large breasts experience pain?......Page 160
68. What can I expect during breast reduction?......Page 161
Surgery Experience......Page 162
Following Surgery......Page 164
Cautions and Considerations......Page 166
Back to Life......Page 167
69. Is there an alternative to surgical breast reduction?......Page 168
70. What are my rights regarding breast reduction coverage?......Page 169
71. How can breast reduction improve my life?......Page 171
72. Can breast reduction affect my breast health?......Page 172
Part Eight: Breast Augmentation......Page 174
73. How can my breasts be enlarged?......Page 175
74. Why would I want larger breasts?......Page 176
75. What are my options for breast augmentation?......Page 178
76. What can I expect during breast augmentation?......Page 182
Following Surgery......Page 183
Cautions and Considerations......Page 184
Back to Life......Page 185
78. How can breast augmentation look or feel more natural?......Page 186
79. Can breast augmentation improve sagging breasts, too?......Page 187
Part Nine: Breast Lift and Other Procedures......Page 190
80. What can be done to improves agging or flat breasts?......Page 191
81. What can I expect after a breast lift?......Page 192
Surgery Experience......Page 194
Cautions and Considerations......Page 195
Back to Life......Page 196
83. Why are breast implants sometimes placed with a breast lift?......Page 197
Part Ten: Other Breast Surgery Procedures......Page 200
85. What other plastic surgery procedures are commonly performed with breast surgery?......Page 201
86. How are disproportionate breasts corrected?......Page 202
87. What other forms of breast surgery are performed?......Page 203
88. What congenital deformities are addressed by breast surgery?......Page 204
Congenital Deformities......Page 206
Part Eleven: Following Breast Surgery......Page 208
90. How long is recovery following breast surgery?......Page 209
91. How should I care for my breasts following breast surgery?......Page 210
92. What are possible complications following breast surgery?......Page 211
93. Can pain be controlled?......Page 213
94. How can I camouflage the signs that I have had surgery?......Page 214
Part Twelve: Your Future......Page 216
96. Will I always have visible scars from breast surgery?......Page 217
97. What if I am not pleased with the outcome of my breast surgery?......Page 218
98. How can I maintain the healthy contours of my breasts following breast surgery?......Page 219
99. Will breast surgery affect my ability to breast-feed, or breast sensation?......Page 220
100. How will having breast surgery affect my life?......Page 221
Afterword......Page 222
Glossary......Page 226
Index......Page 234