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Problems in Breast Surgery: A Repair Manual
Published:May 28, 2014 by CRC Press Content:860 Pages | 800 Color Illustrations Editor(s):Jack Fisher, Neal Handel
Features
•Provides insight from leading experts in the field of breast surgery
•Uses a unique problem-solving approach to common and unusual surgical dilemmas
•Features a convenient semi-atlas format with step-by-step instructions
•Includes color illustrations throughout
*VitalSource eBook version is included with purchase of the print book.
Summary
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 the 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 book is not to judge which solution is the best (that decision is left to the reader). Designed to provide a detailed road map, this manual explains 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 will help the reader 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; but even more important, it will help them avoid problems and complications in future cases.
Table of Contents
Fundamentals
A Reader’s Guide to the Repair Manual
The Art of Analysis: Mechanisms of Failure and Key Anatomic Factors
Problems in Augmentation Mammaplasty
Section One: Postoperative Complications
Periprosthetic Infection after Augmentation
Late Seroma after Augmentation
Capsular Contracture after Augmentation
Impending Implant Exposure/Extrusion
Deflated Saline Implants
Intracapsular Rupture and Gel Bleed
Extracapsular Rupture, Gel Migration, and Silicone Injections
Implant Rotation With Shaped Implants
Special Problems: Malignancy After Augmentation
Section Two: Suboptimal Aesthetic Outcomes
Implant Malposition
Synmastia Repair
Double-Bubble Deformity
Upper Pole Deficiency or Contour Deformity
Inferior Pole Stretch Deformity
Animation Deformity Associated With Subpectoral Implants
Overaugmented Breast
Ptosis in Previously Augmented Breasts
Asymmetries in Previously Augmented Breasts
Explantation
Problems In Mastopexy And Augmentation Mastopexy
Section One: Postoperative Complications
Ischemia of the Nipple-Areola Complex
Compromised Skin Flaps
Section Two: Unsatisfactory Aesthetic Outcomes
Nipple Malposition
Unsatisfactory Scarring
Spreading of the Areola
Recurrent Ptosis
Flattening or Loss of Upper Pole Fullness
Inferior Stretch Deformity and Bottoming Out
Revision in Bariatric Patients of Unsuccessful Outcome After Mastopexy or Augmentation-Mastopexy
Problems in Reduction Mammaplasty
Section One: Postoperative Complications
Ischemia of the Nipple, Areola, and/or Skin Flaps
Section Two: Suboptimal Aesthetic Outcomes
Overresection of Breast Tissue
Underresection of Breast Tissue
Nipple Malposition
Bottoming Out
Unsatisfactory Shape or Contour
Problems In Breast Reconstruction With Prosthetic Devices
Section One: Postoperative Complications
Infection After Breast Reconstruction
Capsular Contracture After Breast Reconstruction
Implant and Expander Malposition
Failed Implant or Expander Reconstruction
Section Two: Suboptimal Aesthetic Outcomes
Asymmetry
Unsatisfactory Shape or Contour
Problems In Breast Reconstruction With Autologous Tissue
Section One: Postoperative Complications
Ischemic and Necrotic Tissue
Failed Tissue Transfer After Autologous Breast Reconstruction
Section Two: Suboptimal Aesthetic Outcomes
Persistent Volume Deficiencies
Asymmetry and Contour Deformities Associated With Reconstruction after Lumpectomy or Partial Mastectomy With Radiation
Section: Complications and Suboptimal Aesthetic Outcomes
Deformities After Lumpectomy, Radiation, and Breast Reconstruction
Cancer Recurrence after Breast Reconstruction
Cancer Recurrence after Implant Reconstruction
Cancer Recurrence after Autologous Reconstruction
Problems Associated with the Nipple-Areola Complex
Section One: Complications and Suboptimal Aesthetic Outcomes
Malposition, Asymmetry, Loss of Projection, Overprojection, and Areolar Spreading
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