By Melvin A. Shiffman

This ebook, written by way of top foreign specialists within the box, bargains a complete assessment of the newest advancements in breast reconstruction. a selected characteristic is the presentation of a mess of recent medical recommendations, with top quality aiding illustrations. the hole sections record the heritage of breast reconstruction, describe the anatomy of the pectoral muscle tissue, pectoral nerves and perforator flaps and supply information on preoperative imaging and making plans. After complete documentation of ideas (including use of autogenous tissues and prosthetic implants), extra sections are dedicated to the results of chemotherapy and radiation, the position of angiography and thermography, tracking, caliber of lifestyles results and issues and their administration. The ebook may be important either for citizens and fellows and for practising and hugely skilled beauty surgeons, plastic surgeons, common surgeons, and people in beauty surgical subspecialties.

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Additional info for Breast Reconstruction: Art, Science, and New Clinical Techniques

Sample text

Good nipple sensitivity and nipple viability have been described with various modifications based on this technique: greater resection of the deep glandular surface, minimal skin undermining, preservation of the periareolar dermis ring [225], and staging the tissue and skin resections [227]. In the midst of experimenting with these transfers, it became apparent that the vascularity and possible innervation of the NAC needed to be preserved. In attempts to address this issue, procedures emerged that described staged methods with tunneling the NAC (1925), leaving the NAC on the breast tissue for cephalad transposition (1926), avoidance of skin undermining (1931), and positioning the nipple before breast shaping [228–230].

That same year, Hollos [67] split an LDF as an alternative to implants in breast augmentation. A volume-added LDF technique, developed by Hammond [68], included a deep layer of fat attached to the flap. Other techniques used with this technique include division of the thoracodorsal nerve to prevent breast animation, partial division of the muscle, and a partially filled tissue expander used in conjunction with the flap. Since Tansini’s discovery, the latissimus dorsi flap has evolved to incorporate many applications for breast reconstruction and reconstruction throughout the body.

During this time, staging procedures were for certain techniques found to have greater success as the more ambitious single-staged alternatives could result in skin and gland necrosis [218]. Often, surgeons were faced with a common problem in reduction mammaplasty: the resulting periareolar corrugations in pendulous breasts [2, 219]. C. Champaneria The nipple-areolar complex was of great interest as finding the perfect technique for its transfer was challenging. Although Morestin had originally described the transposition of the nipple areolar complex (NAC) as a vascular pedicle in 1909, Villandre was credited for conceiving this concept by transferring it through a morecephalad buttonhole opening [220, 221].

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