Shaping the Breast: A Comprehensive Approach in Augmentation, Revision, and Reconstruction

Preface
Acknowledgments
Contents
Contributors
1: Shaping the Breast: Optimizing Outcomes in Breast Augmentation
	Introduction
	Patient Factors
		Medical History
		Patient Motivation
		Body Dysmorphic Disorder
		Body Characteristics
		Patient Expectations and Requests
		Patient Information and Education
	Implant Factors
		Pocket Control
		Physical Exam
		Implant Selection
		Pocket Selection
		Implant Surface Selection
	Surgical Factors
		Superficial Fascial System of the Breast
		Preoperative Planning
		Incision Site
		Marking
		Surgery
		Skin Incision
		Identification of the Major Pectoral Muscle
		Creation of the Implant Pocket
		Implant Insertion
		Wound Closure
		Dressing
		Prepectoral Implant Placement
	Postoperative Care
	Case Presentations
		Case 1
		Case 2
		Case 3
		Case 4
		Case 5
		Case 6
	Conclusion
	References
2: Shaping the Breast: Augmentation Mastopexy
	Introduction
	Preoperative Evaluation
	Blood Supply
	Patient Expectations
	Operative Decision-Making
		To Stage or Not to Stage
			Mastopexy
			Augmentation Mastopexy
		Implant Selection
			Implant Profile and Size
			Smooth Versus Textured Implants
			Shaped Implants
			Additional Implant Characteristics
			Pocket Selection
		Mastopexy Technique
			Circumareolar
			Circumvertical
			Circumvertical with Inverted-T Skin Excision
			Lower Pole Mastopexy
	Operative Technique
		Preoperative Markings
		Vertical Mastopexy Technique
			Surgical Technique
			Pocket Development
				Submuscular Dual-Plane Pocket
				Subfascial Pocket (Fig. 2.26)
				Subglandular Pocket (Fig. 2.27)
			Implant Placement
		Tailor-Tacking (Figs. 2.30, 2.31, and 2.32)
		Breast Flap and Pedicle Dissection
			Lower Pole De-bulking
			Deep Fascial Sling
		Closure
		Postoperative Care and Expected Outcomes
		Complications
		Secondary Procedures
	Conclusion
	Case Examples
	References
3: Shaping the Breast: Composite Breast Augmentation
	Introduction
	Composite Breast Augmentation
	Surgical Technique
	Fat Harvest/Liposuction
	Breast Implant Placement
	Fat Grafting in Primary Breast Augmentation
	Fat Grafting in Secondary Breast Augmentation
	Needle Band Release
	Patient Examples
		Primary Composite Breast Augmentation
			Surgical Technique
		Revision Composite Breast Augmentation
			Surgical Technique
	Conclusion
	References
4: Shaping the Breast: Optimizing Aesthetics with Reconstructive Breast Surgery
	Introduction
	Prosthetic Reconstruction
		Patient Selection
		Device Selection
		Immediate Versus Delayed Reconstruction
		Acellular Dermal Matrix
		Partial Subpectoral Prosthetic Breast Reconstruction and ADM
		Prepectoral Prosthetic Breast Reconstruction
		Autologous Fat Grafting and Prosthetic Breast Reconstruction
		Radiation Therapy and Prosthetic Breast Reconstruction
	Autologous Reconstruction
		Patient Selection
		Flap Selection
	Abdominal Flaps
		TRAM Flap
		Free TRAM Flap
		DIEP Flap
		SIEA Flap
		Shaping the Abdominal Flap
		Flap Insetting
		Latissimus Dorsi Reconstruction
	Gluteal Flaps
		SGAP Flap
		IGAP Flap
		Shaping Gluteal Flaps
	Thigh Flaps
		TUG and TMG Flaps
		PAP Flap
		Secondary Revisions
		The Reconstructed Breast
		The Non-reconstructed Breast
	Conclusion
	References
5: Shaping the Breast: Managing Complex Breast Issues
	Introduction
	The Constricted Lower Pole
		Case Analysis
	Asymmetries
		Case Analysis
		Case Analysis
	Secondary Cases with a Large Implant Pocket/Implant Malposition
		Case Analysis
	Correction of Malposition in One Operation: An Algorithmic Approach
		Operative Techniques
			For Lateral Malposition
			For Inferior Malposition
			For Correction of Recurrent Lateral and Inferior Malposition
				Case Analysis
				Case Analysis
	Correction of Pectoralis Disruption
		Case Analysis
		Double-Bubble Deformity
		Case Analysis
	Unilateral Breast Reconstruction with Contralateral Breast Post Mastopexy/Reduction Bottoming Out
		Case Summary
	Symmastia
		Case Analysis
	Conclusion
	References
Index