Main description:

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 a 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 text is not to judge which solution is the best (that decision is left to the reader). Rather, it is designed to provide a detailed road map explaining how to move from point A, the problem, to point B, the solution.

Dramatic color illustrations and numerous preoperative, intraoperative, and postoperative images help readers visualize the steps of each operative solution.

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. Even more important, it will help them avoid problems and complications in future cases.

Contents:

Fundamentals

A Reader’s Guide to the Repair Manual

The Art of Analysis: Mechanisms of Failure and Key Anatomic Factors

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

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

Ischemia of the Nipple-Areola Complex

Compromised Skin Flaps

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

Ischemia of the Nipple, Areola, and/or Skin Flaps

Overresection of Breast Tissue

Underresection of Breast Tissue

Nipple Malposition

Bottoming Out

Unsatisfactory Shape or Contour

Infection After Breast Reconstruction

Capsular Contracture After Breast Reconstruction

Implant and Expander Malposition

Failed Implant or Expander Reconstruction

Asymmetry

Unsatisfactory Shape or Contour

Ischemic and Necrotic Tissue

Failed Tissue Transfer After Autologous Breast Reconstruction

Persistent Volume Deficiencies

Section: Complications and Suboptimal Aesthetic Outcomes

Deformities After Lumpectomy, Radiation, and Breast Reconstruction

Cancer Recurrence after Implant Reconstruction

Cancer Recurrence after Autologous Reconstruction

Malposition, Asymmetry, Loss of Projection, Overprojection, and Areolar Spreading