Multi level Mammaplasty Anatomical Support And Re shaping Of The Breast 1st edition by Amiram Borenstein, Or Friedman ISBN 9811219146 9789811219146
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ISBN 10: 9811219146
ISBN 13: 9789811219146
Author: Amiram Borenstein, Or Friedman
Multi-Level Mammaplasty focuses on the modification of the Lassus technique, adjusted for the use in breasts of all shapes and sizes. This method relies on an upper pedicle relative to the areola and involves a lower central breast reduction, glandular shaping, and suturing. The tradeoff is that in order to ensure a fine-line peri-areolar scar, a vertical extension is added. However, this vertical scar fades over time and is partly obscured by the breast. The submammary horizontal scar, typical of the inverted T incision, is avoided through progressive gathering of the breast tissue during the reconstruction of the breast mound, precisely through trimming of the excess skin for a short, tension-free vertical suture. Moreover, the peri-areolar suture is not disturbed by the vertical suture with unnecessary tension. Still, in the larger breast, the vertical scar may extend to the chest wall. We accept this tradeoff and discuss it with our patients before surgery. In this book, the authors present evidence to demonstrate that the Borenstein multi-level mammaplasty technique is safe and allows the precise reshaping of the breast with long-lasting results. Its advantages largely compensate for the addition of the vertical limb to the peri-areolar scar.
Multi level Mammaplasty Anatomical Support And Re shaping Of The Breast 1st Table of contents:
Chapter 1 Surgical Anatomy of the Breast
The Superficial Fascia of the Breast
Blood Supply
Innervation
Chapter 2 Multi-Level Mammaplasty
Fundamentals
Surgical Principles of Multi-level Mammaplasty
Upper pole
Inferior pole
Multi-level breast mound support
Nipple-areola placement
Tension-free skin closure
Symmetry, scars, safety, and stability of results
Scars
Sensitivity
Lactation potential
Adaptability
Chapter 3 Patient Consultation and Evaluation
Go On, I Am Listening
Consultation, Motivations, and Indications
Medical History and Physical Examination
Informing the Patient
Chapter 4 Multi-Level Breast Reduction
Secure the Foundation
Surgical Technique and Rationale
Marking and de-epithelization
Lateral support
Shaping the breast mound
Nipple-areola complex insetting
What About Mastopexy?
Concluding Thoughts
Tips and Tricks to the Technique
Limitations
Summary
Chapter 5 Breast Implant Explantation and Multi-Level Mastopexy
Out With the Old (Implant) in With Your Own (Breast)
Surgical Technique
Discussion
Tips and Tricks to the Technique
Limitations
Conclusion
Chapter 6 Breast Augmentation and Multi-Level Mastopexy
Taking the Stress Out of the Breast
Surgical Technique
Discussion
Tips and Tricks to the Technique
Limitations
Conclusion
Chapter 7 Postoperational Breast Support
The Paper Bra
Breast Taping Technique
Follow-up
Discussion
Limitations
Conclusion
Chapter 8 Complications and Long-Term Results
Stand By Me
General Considerations
Necrosis
Infection hematoma and seroma
Wound dehiscence
Delayed Problem
Poor healing and scarring
Long-term results
Chapter 9 Advanced Scar Treatments
Scars Are Like Diamonds
Scar Treatment
Mature and Stable Surgical Scars
Erythematous and Relatively Flat Surgical Scars
Erythematous and Slightly Hypertrophic Post-surgical Scars
Mature/Stable (Non-Erythematous) Hypertrophic Scars
Atrophic Scars
Hyperpigmented Scars
Hypopigmented Scars
Immature Scar or Scar Mitigation
Conclusion
References
List of Abbreviations
Index
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Tags: Amiram Borenstein, Or Friedman, Multi level, The Breast