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.
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