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Plastic Surgery
Volume 5: Breast
- 5th Edition - August 21, 2023
- Authors: Maurice Y Nahabedian, Peter C. Neligan
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 1 0 4 2 - 5
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 7 3 8 1 - 9
Comprehensive and fully up to date, the six-volume Plastic Surgery remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both… Read more
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New chapters cover composite breast augmentation (fat and implants), mastopexy after massive weight loss, breast implant illness, and management options for gender affirmation surgery of the breast; coverage throughout includes new, pioneering translational work shaping the future of breast plastic surgery.
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New digital video preface by Dr. Peter C. Neligan addresses the changes across all six volumes.
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New treatment and decision-making algorithms added to chapters where applicable.
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New video lectures and editor-narrated slide presentations offer a step-by-step audiovisual walkthrough of techniques and procedures.
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Evidence-based advice from an expanded roster of international experts allows you to apply the very latest advances in breast plastic surgery and ensure optimal outcomes.
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Purchase this volume individually or own the entire set, with the ability to search across all six volumes online!
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An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
- Instructions for Online Access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Lecture Video Contents
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- Section I: Aesthetic Breast Surgery
- 1. Preoperative assessment and planning of the aesthetic breast patient
- Abstract
- Introduction
- Patient factors
- Implant factors
- Surgical factors
- Conclusion
- References
- 2. Current status of breast implants
- Abstract
- Introduction
- History of breast implants
- Implant shape
- Indications for anatomical implants
- Indications for round implants: when anatomical implants are not necessary
- Device fill in the modern era: the implant gel
- The implant surface
- Summary
- References
- 3. Primary breast augmentation with implants
- Introduction
- Indication
- Patient selection
- Patient consultation
- Patient examination and implant selection
- Operative technique
- In the OR
- Pitfalls and how to address
- Postoperative care
- Summary
- References
- 4. Autologous fat transfer: fundamental principles and application for breast augmentation
- Abstract
- History
- Principles of 3D tissue grafting
- Percentage graft survival vs. percentage recipient site augmentation
- Breast augmentation technique that abides by the recognized principles
- Factors improving the recipient
- Adjunctive procedures to improve breast augmentation
- Totally autologous breast augmentation case examples
- Conclusion
- References
- 5. Augmentation mastopexy
- Abstract
- Introduction: a historical perspective
- Definition and classification of ptosis
- Diagnosis, patient presentation, and counseling
- Anatomic factors in augmentation mastopexy
- Selecting the appropriate mastopexy incision
- Implant selection
- One- versus two-stage augmentation mastopexy
- Preoperative preparation
- Treatment/surgical technique
- Special considerations
- Postoperative care
- Complications and secondary procedures
- Outcomes
- References
- 6. Mastopexy after massive weight loss
- Abstract
- Introduction
- Diagnosis/patient presentation
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Special considerations
- Conclusion
- References
- 7. Prevention and management of complications following breast augmentation and mastopexy
- Abstract
- Introduction
- Breast augmentation – complications and revisional approach
- Mastopexy – complications and revisions
- Augmentation mastopexy – complications and revisions
- Conclusion
- References
- 8. Short scar breast reduction
- Abstract
- Introduction
- Breast reduction principles
- Superomedial pedicle vertical breast reduction
- Applied anatomy
- Indications and contraindications
- Preoperative Assessment
- Operative technique (see )
- Intraoperative and postoperative care
- Complications
- Summary
- References
- 9. Reduction mammaplasty with inverted-T techniques
- Abstract
- Introduction
- Breast anatomy
- Historical Perspective
- The inverted-T skin pattern
- Treatment/surgical technique
- Special circumstances
- Postoperative care
- Complications
- Conclusion
- References
- 10. Breast implant illness: diagnosis and management
- Abstract
- Introduction
- ASIA syndrome and other silicone incompatibility syndromes
- Science on trial: changing sources of medical information
- Self-described symptoms in women with breast implants-BII
- Current BII literature
- Social media and BII
- Current theories on the potential etiology of BII
- Treatment
- Conclusion
- References
- 11. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL): diagnosis and management
- Abstract
- Introduction
- Lymphoma background
- BIA-ALCL pathogenesis
- Epidemiology
- Diagnosis and treatment
- Staging
- Clinical characteristics and outcomes
- Setting research priorities
- Medico-legal considerations
- Reporting of cases
- Conclusions
- References
- 12. A critical analysis of irrigation solutions in breast surgery
- Abstract
- Introduction
- The breast is a clean-contaminated site
- Biofilms and breast implants
- History of breast pocket irrigation
- Antibacterial solutions
- In vitro analyses
- Capsular contracture
- Skin and soft tissue infection
- Breast implant-associated ALCL
- Conclusion
- References
- 13. Imaging and surveillance in patients with breast implants
- Abstract
- Introduction
- Integrating HRUS into your plastic surgery practice
- Clinical studies of HRUS and breast implant evaluation
- Conclusions
- References
- 14. Breast implant explantation: indications and strategies to optimize aesthetic outcomes
- Abstract
- Indications for breast explantation
- Explantation techniques: capsule management
- Explantation techniques: adjunctive aesthetic procedures
- Conclusion
- References
- 15. Management strategies for gynecomastia
- Abstract
- Introduction
- Presentation
- Etiology and diagnostic evaluation
- Histopathological variations
- Treatment
- Outcomes
- Pitfalls
- Conclusions
- References
- 16. Management options for gender affirmation surgery of the breast
- Abstract
- Background
- Gender-affirming care
- Gender-affirming mastectomy
- Gender-affirming breast augmentation
- Conclusions
- References
- Section II: Reconstructive Breast Surgery
- 17. Preoperative evaluation and planning for breast reconstruction following mastectomy
- Abstract
- Introduction
- Breast cancer history and considerations
- Stage
- Nipple-sparing mastectomy
- Contralateral prophylactic mastectomy
- Reconstructive options
- Radiation
- Chemotherapy
- Hormone and biologic therapies
- Host factors
- Surgical history
- Medications
- Physical exam, photography, and preoperative imaging
- Conclusions
- References
- 18. Perfusion assessment techniques following mastectomy and reconstruction
- Abstract
- Introduction
- Perfusion imaging in implant-based breast reconstruction
- Imaging in autologous tissue transfer
- Conclusion
- References
- 19. Introduction to prosthetic breast reconstruction
- Abstract
- Introduction
- Anaplastic large cell lymphoma
- Breast implant illness
- Acellular dermal matrix
- Subpectoral placement of prosthetic devices
- Prepectoral placement of prosthetic devices
- Two-stage versus one-stage reconstruction
- Conclusions
- References
- 20. One- and two-stage prepectoral reconstruction with prosthetic devices
- Abstract
- One-stage prepectoral reconstruction
- Two-stage prepectoral reconstruction
- Conclusions
- References
- 21. One-stage dual-plane reconstruction with prosthetic devices
- Abstract
- Introduction
- Direct-to-implant breast reconstruction
- Preoperative considerations
- Surgical planning (Table 21.1)
- Intraoperative technique: immediate subpectoral DTI reconstruction with ADM
- Postoperative considerations
- References
- 22. Two-stage dual-plane reconstruction with prosthetic devices
- Abstract
- History
- Preoperative evaluation
- Dual-plane tissue-expander reconstruction
- Implant exchange
- Complications
- Conclusions
- References
- 23. Two-stage prosthetic reconstruction with total muscle coverage
- Abstract
- Introduction
- Preoperative counseling
- Procedure selection
- Surgical technique: two-stage reconstruction
- Advantages/disadvantages
- References
- 24. Skin reduction using “smile mastopexy” technique in breast reconstruction
- Abstract
- Introduction
- Surgical technique
- Results
- Limitations
- Conclusion
- References
- 25. Management of complications of prosthetic breast reconstruction
- Abstract
- Introduction
- Predicting the risk of complications
- Timing of complications
- Managing complications
- Aesthetic complications
- Conclusion
- References
- 26. Secondary refinement procedures following prosthetic breast reconstruction
- Abstract
- Introduction
- Autologous fat grafting
- NAC repositioning
- Animation deformity correction
- Breast augmentation mammaplasty
- Breast reduction mammaplasty
- Reduction/augmentation-mastopexy
- References
- 27. Introduction to autologous breast reconstruction with abdominal free flaps
- Abstract
- Introduction
- References
- 28. Breast reconstruction with the pedicle TRAM flap
- Abstract
- Introduction
- History
- Anatomy
- Initial markings
- Surgical timing/preoperative planning
- Patient selection
- Surgical procedure
- The “Bikini Inset” in delayed TRAM flaps in irradiated breasts ( )
- TRAM flap modifications
- Postoperative care
- Outcomes, prognosis, risk factors, complications
- Secondary procedures
- References
- 29. Breast reconstruction with the latissimus dorsi flap
- Abstract
- Introduction
- Operative strategy
- Anatomy
- Patient marking
- Historical perspective
- Surgical technique
- Defect preparation
- Flap elevation
- Pedicle identification
- Flap inset
- Device placement
- Delayed breast reconstruction
- Immediate breast reconstruction
- Final closure: postoperative care
- Second stage reconstruction
- Immediate breast reconstruction
- Delayed breast reconstruction
- Autologous reconstruction
- Lumpectomy reconstruction
- Revision reconstruction
- Complications
- Summary
- References
- 30. Autologous breast reconstruction with the DIEP flap
- Abstract
- Introduction
- History
- Patient selection
- Choosing the recipient vessels
- Anatomy of internal mammary vessels
- Vascular anatomy and relevance to lower abdominal tissue transfer
- Perfusion zones
- Perforator mapping
- Perforator selection
- Strategies to maximize flap volume
- Enhanced recovery after surgery
- Preoperative preparation
- Surgical technique
- Microvascular flap transfer (see Videos 30.4 & 30.5 Video 30.4 Video 30.5 )
- Closure of the donor site and fashioning of the umbilicus
- Flap orientation, inset, and shaping
- Advances in DIEP breast reconstruction
- Postoperative care
- Complications
- Secondary surgical procedures
- Conclusion
- References
- 31. Autologous breast reconstruction with the free TRAM flap
- Abstract
- Introduction
- Basic science/anatomy
- Patient selection
- Preoperative planning using angiography
- Surgical technique
- Postoperative care
- Complications
- Conclusion
- References
- 32. Autologous breast reconstruction with the superficial inferior epigastric artery (SIEA) flap
- Abstract
- Introduction
- Preoperative evaluation and indications
- Pre-surgical preparation
- SIEA flap elevation
- Recipient vessel preparation
- Flap inset
- Flap monitoring
- Postoperative care
- References
- 33. Introduction to autologous reconstruction with alternative free flaps
- Abstract
- Introduction
- Gluteal perforator flaps
- Medial thigh flaps
- Posterior thigh flaps
- Lumbar artery perforator flap
- Clinical review
- References
- 34. Gluteal free flaps for breast reconstruction
- Abstract
- Introduction
- History
- Patient selection and considerations
- Preoperative perforator mapping
- Operative approach ( & )
- Postoperative care
- Revision surgery
- Complications and management
- Conclusion
- References
- 35. Autologous breast reconstruction with medial thigh flaps
- Abstract
- Introduction
- History
- Basic science/disease process
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, complications
- Double TUG flaps for one breast
- Secondary procedures: TUG plus…
- References
- 36. Autologous breast reconstruction with the profunda artery perforator (PAP) flap
- Abstract
- Introduction
- Historical perspective
- Basic science/anatomy
- Patient selection
- Surgical technique
- Postoperative care
- Outcomes and complications
- Secondary procedures
- Trends/alterations
- Conclusion
- References
- 37. Autologous reconstruction with the lumbar artery perforator (LAP) free flap
- Abstract
- Introduction
- The lumbar artery perforator (LAP) flap anatomy
- Historical perspective
- Patient selection
- Surgical technique
- Postoperative care
- Outcome, prognosis and complications
- Conclusion
- References
- 38. Hybrid breast reconstruction: combining flaps and implants
- Abstract
- Introduction
- Hybrid breast reconstruction
- Plane of implant placement
- Timing of implant placement
- Radiation therapy
- Surgical technique: immediate hybrid breast reconstruction
- Summary
- References
- 39. Innervation of autologous flaps
- Abstract
- Introduction
- Breast sensation anatomy
- Understanding nerve anatomy and physiology
- Neurotization techniques
- Innervated implant-based reconstruction
- Outcomes
- Future directions
- References
- 40. Stacked and conjoined flaps
- Introduction
- Patient selection and preoperative assessment
- Surgical technique
- LAP flap
- PAP flap
- Recipient site preparation
- Microsurgery
- Inset
- Postoperative care
- Outcomes
- Conclusions
- References
- 41. Management of complications following autologous breast reconstruction
- Abstract
- Introduction
- Systemic complications
- Breast complications
- Preventing complications
- Conclusion
- References
- 42. Enhanced recovery after surgery (ERAS) protocols in breast surgery: techniques and outcomes
- Abstract
- Introduction
- Components of an ERAS protocol
- Preoperative optimization
- Regional blocks
- Anesthesia ERAS considerations
- Summary
- References
- 43. Secondary procedures following autologous reconstruction
- Abstract
- Introduction
- Procedures
- Conclusion
- References
- 44. Introduction to oncoplastic breast surgery
- Abstract
- Introduction
- Safety and efficacy of oncoplastic surgery
- Immediate reconstruction of the partial mastectomy deformity
- Volume displacement techniques
- Volume replacement techniques
- Conclusions
- References
- 45. Partial breast reconstruction using reduction and mastopexy techniques
- Abstract
- Introduction
- Surgical technique
- Outcomes
- Conclusion
- References
- 46. Oncoplastic breast reconstruction: local flap techniques
- Abstract
- Introduction
- Indications
- Historical perspective
- Contraindications
- Anatomy
- Surgical technique
- Secondary procedures
- References
- 47. Surgical and non-surgical management of breast cancer-related lymphedema
- Abstract
- Introduction
- Basic science
- Historical perspective
- Clinical evaluation
- Non-surgical treatment
- Diagnostic imaging
- Preoperative patient selection
- Surgical treatments
- Liposuction
- Conclusion
- References
- 48. Breast reconstruction and radiotherapy: indications, techniques, and outcomes
- Abstract
- Introduction
- Radiotherapy in breast cancer
- Partial breast reconstruction and radiotherapy
- Breast reconstruction and postmastectomy radiotherapy
- Breast reconstruction in pre-irradiated tissue
- Conclusion
- References
- 49. Robotic-assisted autologous breast reconstruction
- Abstract
- Introduction
- Robotic-assisted latissimus dorsi harvest (RALDH)
- The RoboDIEP: robotic-assisted deep inferior epigastric perforator flaps for breast reconstruction
- Limitations
- Conclusion
- References
- 50. Total breast reconstruction by external vacuum expansion (EVE) and autologous fat transfer (AFT)
- Abstract
- Introduction
- Indications
- Contraindications
- Fundamental principles and basis for the technique
- Basic concepts of fat grafting
- The surgery
- Complementary procedures: the reverse abdominoplasty and fat transfer (RAFT)
- Complications and risks of the procedure
- Case examples
- Delayed reconstruction
- Conclusion
- References
- 51. Current options for nipple reconstruction
- Abstract
- Introduction
- General principles
- Surgical techniques
- Areolar reconstruction
- Nipple reconstruction
- Tissue engineering
- 3D tattooing
- Conclusion
- References
- Index
- Confidence is ClinicalKey
- No. of pages: 680
- Language: English
- Edition: 5
- Published: August 21, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780323810425
- eBook ISBN: 9780323873819
MN
Maurice Y Nahabedian
PN