Surgery of the Breast: Principles and Art

JEFFERSON E.C. MOULDS 21 Assessment, Genetic Testing, and Management Options ... Hereditary Breast Cancer: Risk264 BETH N. PESHKIN 22 Reconstruction, Including Prosthetic, Latissimus, and Transverse Rectus Abdominus Myocutaneous Flap Techniques ... Prophylactic Simple Mastectomy and277 DENNIS C. HAMMOND 23 Reconstruction: Indications, Techniques, and Outcomes ... Nipple-sparing Mastectomy and287 SCOTT L. SPEAR, SHAWNA C. WILLEY, CATHERINE M. HANNAN, AND COSTANZA COCILOVO 24 Nipple-sparing Mastectomy ... 298 G. PATRICK MAXWELL, PAT WHITWORTH, AND ALLEN GABRIEL 25 Reconstructive Considerations . . Breast Cancer in Men: Oncologic and308 MAURICE Y. NAHABEDIAN 26 Treatments for Breast Cancer ... Psychological Impact of313 JULIA H. ROWLAND SECTION II: Reconstruction Breast 27 Considerations in Breast Surgery ... Informed Consent: Medicolegal331 NEAL R. REISMAN 28 Silicone Gel Breast Implants ... 337 MICHAEL J. MILLER 29 Manufacturing Past, Present, and Future ... Breast Implants: Materials and344 WILLIAM P. ADAMS, JR AND JASON K. POTTER 30 Reconstruction With Adjustable Implants ... One-stage Immediate Breast357 HILTON BECKER 31 Reconstruction With Shaped Adjustable Implants ... Immediate and Delayed Breast376 MICHAEL SCHEFLAN 32 Reconstruction Using a Tissue Expander and Implant ... Immediate Two-stage Breast388 LOUIS L. STROCK 33 Reconstruction ... Acellular Dermis-assisted Breast406 SCOTT L. SPEAR, PRANAY M. PARIKH, AND NATHAN G. MENON 34 Reconstruction With Acellular Dermal Matrix ... Direct-to-Implant Breast412 C. ANDREW SALZBERG AND R. MICHAEL KOCH 35 Implant Breast Reconstruction ... Delayed Two-stage Tissue Expander-420 F. FRANK ISIK 36 Form-stable Implants ... Breast Reconstruction With429 MAURIZIO NAVA, ANGELA PENNATI, ANDREA SPANO, AND GIUSEPPE CATANUTO 37 Breast Reconstruction ... Skin-preserving Delayed-Immediate438 STEVEN J. KRONOWITZ AND GEOFFREY L. ROBB 38 Reconstruction Using Semilunar Expander and Purse-string Closure ... Immediate Two-stage Breast450 GINO RIGOTTI AND ALESSANDRA MARCHI 39 Radiated Breast ... Prosthetic Reconstruction in the460 SCOTT L. SPEAR AND M. RENEE JESPERSEN 40 Secondary Prosthetic Cases ... 476 SCOTT L. SPEAR, M. RENEE JESPERSEN, AND ADAM D. SCHAFFNER 41 The External Approach ... Recreating the Inframammary Fold:492 JAMES J. RYAN 42 The Internal Approach ... Re-creating the Inframammary Fold:497 SCOTT L. SPEAR, ALI N. MESBAHI, AND MICHAEL BECKENSTEIN 43 Fold With the Superficial Fascial System ... Recreating the Inframammary512 MAURIZIO NAVA, JOSEPH OTTOLENGHI, AND EGIDIO RIGGIO 44 Flap Breast Reconstruction ... Latissimus Dorsi Musculocutaneous535 DENNIS C. HAMMOND 45 Autologous Reconstruction with Latissimus Muscle Only Flaps ... Endoscopic Delayed-Immediate555 NEIL A. FINE AND KRISTINA O'SHAUGHNESSY 46 in Reconstruction of the Radiated Breast ... The Latissimus Dorsi Flap563 SCOTT L. SPEAR, JAY BOEHMLER, AND MARK W. CLEMENS 47 Autologous Latissimus Dorsi Flap With and Without Immediate Nipple Reconstruction ... Breast Reconstruction With an571 EMMANUEL DELAY 48 Breast ... Aesthetic Subunits of the597 STEVEN P. DAVISON AND MARK W. CLEMENS 49 Breast ... Reconstruction of the Irradiated607 SCOTT L. SPEAR, MATTHEW L. IORIO, AND PRANAY M. PARIKH 50 Breast Using Autologous Tissue With Immediate Nipple Reconstruction ... One-stage Reconstruction of the623 LAWRENCE B. COLEN AND JOHN M CCRAW 51 Reconstruction ... Bipedicle TRAM Flap639 KENNETH C. SHESTAK 52 Myocutaneous Flap Reconstruction: The Single-pedicle, Whole-muscle Technique ... Transverse Rectus Abdominis652 MICHAEL R. ZENN AND JAMES W. MAY, JR. 53 Unipedicle TRAM Operation: The Muscle-splitting Technique ... Breast Reconstruction With the660 SCOTT L. SPEAR, CHRISTIAN A. PRADA, DEREK L. MASDEN, AND J. WILLIAM LITTLE 54 Myocutaneous Flaps ... Bilateral Transverse Rectus Abdominus670 ONELIO GARCIA, JR. 55 Myocutaneous Flap Breast Reconstruction ... Free Transverse Rectus Abdominis681 CHET L. NASTALA, STEVEN M. PISANO, MINAS T. CHRYSOPOULO, AND PETER R. LEDOUX 56 Skin-sparing Mastectomy Through a Periareolar Approach ... Immediate Reconstruction After693 JOAN E. LIPA 57 Mastectomy Using the Omental Flap and Synthetic Mesh ... Immediate Reconstruction After Skinsparing705 JOAO CARLOS SAMPAIO GOES AND ANTONIO LUIZ V. MACEDO 58 Abdominal Flaps and Implants . . 712 MAURICE Y. NAHABEDIAN 59 Myocutaneous Flaps With Preoperative Delay ... Transverse Rectus Abdominis720 PAUL R. CALLEGARI 60 Tissue Transfer: An Algorithmic Approach ... Breast Reconstruction With Free727 JULIE E. PARK AND DAVID H. SONG 61 Reconstruction ... Perforator Flaps in Breast736 MARK W. CLEMENS AND MAURICE Y. NAHABEDIAN 62 Flaps ... Anatomic Basis of Perforator745 MICHEL SAINT-CYR 63 in Breast Reconstruction ... Pedicled Perforator Flaps757 MOUSTAPHA HAMDI 64 Rectus Abdominis Musculocutaneous Flaps ... Musculofascial-sparing Transverse770 MICHAEL J. MILLER 65 Artery Perforator Flap Breast Reconstruction ... Deep Inferior Epigastric778 MARK W. CLEMENS AND MAURICE Y. NAHABEDIAN 66 Perforator Flap in Breast Reconstruction ... The Superior Gluteal Artery790 JULIE V. VASILE, ROBERT J. ALLEN, AND JOSHUA L. LEVINE 67 Flap for Microsurgical Breast Reconstruction ... The Inferior Gluteal Artery Perforator803 CONSTANCE M. CHEN, MARIA M. LoTEMPIO, AND ROBERT J. ALLEN 68 Epigastric Artery Flap in Breast Reconstruction ... The Superficial Inferior808 PIERRE M. CHEVRAY 69 Reconstruction ... Gracilis Flaps for Breast818 KAREN M. HORTON 70 Breast in Breast Reconstruction ... Options for Managing the Opposite830 JAMES D. NAMNOUM AND DAVID OTTERBURN 71 Outcomes in Bilateral Breast Reconstruction ... Issues, Considerations, and838 ELISABETH K. BEAHM AND ROBERT L. WALTON 72 Nipple-Areola Reconstruction ... 855 SCOTT L. SPEAR AND JUSTIN E. WEST 73 Augmentation in Subsequent Breast Reconstruction ... Considerations of Previous875 SCOTT L. SPEAR, MARK W. CLEMENS, AND MICHAEL A. HOWARD 74 Breast Reconstruction ... The Second Stage in Autologous884 DAVID W. CHANG 75 Following Breast Reconstruction With Abdominal Flaps ... Biomechanical Considerations894 MAURICE Y. NAHABEDIAN, SCOTT L. SPEAR, AND CHRISTOPHER L. HESS 76 Deformities in the Reconstructed Breast ... Fat Injection to Correct Contour904 SCOTT L. SPEAR AND ALI AL-ATTAR 77 Breast ... Lipomodeling of the Reconstructed912 EMMANUEL DELAY 78 Reconstruction ... Surveillance Following Breast930 VALERIE LEMAINE, COLLEEN M. M AND ANDREA PUSIC CCARTHY, 79 Following Tumor Recurrence ... Reconstruction of the Breast934 MELISSA A. CROSBY AND DAVID W. CHANG 80 Stem Cells and the Breast ... 940 EDWARD P. BUCHANAN, VICTOR W. WONG, AND GEOFFREY C. GURTNER 81 Postoperative Breast Pain ... Management of Chronic947 IVICA DUCIC, ETHAN E. LARSON, AND MATTHEW L. IORIO Volume 2 SECTION III: Mammaplasty and Mastopexy Reduction 82 and Mastopexy: General Considerations ... Reduction Mammaplasty955 DENNIS C. HAMMOND 83 and Reduction: The "Round Block" ... Periareolar Benelli Mastopexy960 LOUIS C. BENELLI 84 Wall-based Flap and Pectoralis Muscle Loop ... Mastopexy With Chest972 RUTH GRAF, ANDRE RICARDO DALL'OGLIO TOLAZZI, THOMAS BIGGS, AND MARIA CECILIA CLOSS ONO 85 Implants: Superolaterally Based Rotation Flap ... A Mastopexy Technique Without985 BARBARA B. HAYDEN 86 and Mastopexy Without Undermining ... Vertical Scar Breast Reduction990 CLAUDE LASSUS 87 Vertical Mastopexy ... 1007 JUAN DIEGO MEJIA AND FOAD NAHAI 88 Reduction and Mastopexy ... Vertical Mammaplasty for Breast1016 ALBERT DE MEY, DIANE FRANCK, AND CHRISTOPHE ZIRAK 89 Short Horizontal Scar ... Vertical Mammaplasty With a1025 DANIEL A. MARCHAC 90 Alone ... Breast Reduction by Liposuction1035 MARTIN MOSKOVITZ 91 the Superomedial Pedicle ... Vertical Breast Reduction Using1045 ELIZABETH J. HALL-FINDLAY 92 Inferior Pedicle Reduction Mammaplasty ... The Short Scar Periareolar1063 DENNIS C. HAMMOND 93 Reduction Technique ... The Circumvertical Breast1078 A. ALDO MOTTURA 94 Reduction: Basic Concepts ... Inferior Pedicle Technique in Breast1088 NAVIN K. SINGH AND MARWAN R. KHALIFEH 95 Reduction: Practical Steps ... Inferior Pedicle Technique in Breast1097 SAUL HOFFMAN 96 Using the Central Mound Technique ... Reduction Mammaplasty1107 DANIEL P. LUPPENS AND MARK A. CODNER 97 Medial Pedicles and Inverted-T Incisions ... Reduction Mammaplasty Using1116 ETHAN E. LARSON AND MAURICE Y. NAHABEDIAN 98 The L Short-scar Mammaplasty . 1128 ARMANDO CHIARI, JR. AND JAMES C. GROTTING 99 Reduction ... The No-vertical-scar Breast1144 SIMON G. TALBOT AND JULIAN J. PRIBAZ 100 Free Nipple Graft Technique ... Breast Reduction With the1156 SCOTT L. SPEAR AND M. RENEE JESPERSEN 101 in the Irradiated Breast ... Reduction Mammoplasty1170 SCOTT L. SPEAR AND AMER SABA 102 After Massive Weight Loss ... Breast Reduction and Mastopexy1174 J. PETER RUBIN AND JOSEPH MICHAELS 103 and Mastopexy After Massive Weight Loss ... Strategies in Breast Reduction1185 DENNIS J. HURWITZ 104 Gynecomastia ... 1205 FRANK LISTA AND JAMIL AHMAD 105 Corrections After Breast Reduction and Mastopexy ... Complications and Secondary1211 SCOTT L. SPEAR AND KAREN KIM EVANS SECTION IV: Mammaplasty Augmentation 106 General Considerations ... Augmentation Mammaplasty:1227 G. PATRICK MAXWELL, MATTHEW B. BAKER, AND ALLEN GABRIEL 107 Tissue-based Planning for Breast Augmentation ... The High Five Process:1246 WILLIAM P. ADAMS JR. 108 Patient: Psychological Issues ... The Augmentation Mammoplasty1254 REBECCA COGWELL ANDERSON AND JASON C. LEVINE 109 Augmentation ... Patient Education in Breast1261 CAROLINE A. GLICKSMAN 110 Augmentation Mammaplasty ... The Inframammary Approach to1271 DENNIS C. HAMMOND 111 Augmentation Mammaplasty ... The Periareolar Approach to1277 SCOTT L. SPEAR, JEFFREY M. JACOBSON, AND ELAN REISIN 112 Augmentation ... Subfascial Breast1283 RUTH MARIA GRAF, MARIA CECILIA CLOSS ONO, AND ANDRE RICARDO DALL'OGLIO TOLAZZI 113 Augmentation ... Transaxillary Breast1290 LOUIS L. STROCK 114 Augmentation ... Transumbilical Breast1300 RICHARD V. DOWDEN AND MARIANNE A. FULLER 115 Anatomic, High-cohesiveness Silicone Gel Implants (European Experience) ... Breast Augmentation With1322 PER HEDEN 116 Form-stable Gel Implant for Primary Breast Augmentation ... The Highly Cohesive, Style 4101346 BRADLEY P. BENGTSON 117 Lipoaugmentation ... 1366 SYDNEY R. COLEMAN AND ALESIA P. SABOEIRO 118 Reconstruction Using BRAVA External Breast Expansion and Autologous Fat Grafting . . Breast Augmentation and1374 ROGER K. KHOURI AND DANIEL DEL VECCHIO 119 Patient With Tuberous Breasts and Other Complex Anomalies ... Augmentation Mammaplasty in the1401 DENNIS C. HAMMOND 120 in Women With Thoracic Hypoplasia ... Augmentation Mammaplasty1410 SCOTT L. SPEAR, JESSE A. GOLDSTEIN, AND CHRISTOPHER V. PELLETIERE 121 With Poland Syndrome ... Breast Reconstruction in Patients1416 JAMES D. NAMNOUM 122 Mastopexy ... Augmentation With Periareolar1425 SCOTT L. SPEAR AND MARK L. VENTURI 123 General Considerations ... Augmentation Mastopexy:1434 DENNIS C. HAMMOND 124 Augmentation Mammaplasty ... Managing Complications of1447 NEAL HANDEL 125 Implant Malposition ... Neo-subpectoral Technique for1473 SCOTT L. SPEAR, M. RENEE JESPERSEN, AND SAMIR S. RAO 126 Distortion Following Submuscular Breast Augmentation ... Outcome Assessment of Breast1481 SCOTT L. SPEAR AND JAIME SCHWARTZ 127 Surgery of the Breast ... Bioprosthetic Materials for Plastic1488 G. PATRICK MAXWELL AND ALLEN GABRIEL 128 Treatment and Prevention of Implant-associated Breast Deformities ... Acellular Dermal Matrix for the1495 SCOTT L. SPEAR AND MITCHEL SERUYA 129 After Augmentation Mammaplasty by Conversion to the Subpectoral or "Dual-plane" Position ... Correction of Capsular Contracture1503 SCOTT L. SPEAR AND MICHAEL COHEN 130 and Anatomic Description, Classification and Definitions, and Options for Repair and Reinforcement ... The Inframammary Fold: Histologic1510 BRADLEY P. BENGTSON 131 Anatomic Form-stable Silicone Gel Implants ... Revision Augmentation With1516 MITCHELL H. BROWN 132 Augmented Breast ... Correction of Ptosis in the Previously1532 NEAL HANDEL Oncoplastic Surgery