BookJohn Y.S. Kim, editor.
Summary: Offering the perspective of seasoned surgeons who have seen, thought about, and worked through the common and uncommon problems that can arise in aesthetic breast surgery, this book serves as a reference to guide surgeons through the steps of understanding, potentially avoiding, and then treating these issues. Managing Common and Uncommon Complications of Aesthetic Breast Surgery is methodical in its approach, beginning with key relevant highlight of embryology and anatomy of the breast and continuing into common problems in breast surgery, implant-related surgery, breast lifts and reductions. A variety of pitfalls are also explored from rupture, capsular contracture, and implant malposition to the rare and uncommon surface-texture related lymphoma. Every process is explored in depth with carefully crafted, practical, and experientially tested solutions proposed. Featuring real patient photos, detailed tables, and high definition videos for supplemental learning, this text is a one-stop reference to help surgeons understand, manage, and treat complications in aesthetic breast surgery both common and uncommon.
Contents:
Intro
Preface
Contents
Contributors
Part I: Implants and Breast Augmentation
1: Breast Embryology and Anatomy
Introduction
Embryology and Development
Blood Supply to the Nipple-Areolar Complex
Pedicles to the Nipple-Areolar Complex
Innervation to the Breast and Nipple-Areolar Complex
Pectoralis Muscle Anatomy
What Is the IMF?
Conclusion
References
2: Double Bubble: An Anatomic Analysis and Management Algorithm
Introduction
What Is the IMF?
Translating IMF Anatomy to Iatrogenic Deformities: Pathophysiology of Double-Bubble Deformities Etiology, Incidence, and Risk Factors
Prevention
Techniques for Correction
Pocket Conversion Techniques
Inferior Support with Suture or Mesh-Assisted Capsulorrhaphy
Algorithm for Double-Bubble Treatment
Case Example
Conclusion
References
3: Guiding Principles for Congenital Chest Wall and Breast Anomalies: Avoiding Complications
Introduction
Basic Science: Chest Wall Embryology and Breast Development
Surgical Correction of Chest Wall Anomalies
Rare Acquired Deformities
The Psychosocial Implications Patient Assessment and Planning for Patients with Chest Wall and Breast Asymmetry
Correction with Shaped Textured Versus Round Gel Implants
The Increasing Role of Fat
Conclusion
References
4: Treatment of Implant Malposition
Introduction
Types of Malposition and Their Causes
Inferior Malposition
Medial Malposition
Lateral Malposition
Superior Malposition
Causes of Implant Malposition
Operative Technique-Related Factors
Implant-Related Factors
Patient-Related Factors
Treatment of Implant Malposition
Evaluation
Repair Approaches and Techniques Revision of Existing Pocket
Creation of a New Pocket
Case Examples
Correction of Inferolateral Malposition
Correction of Medial Malposition
Correction of Inferior Malposition
Prevention of Implant Malposition
Conclusion
References
5: Implant Rupture: Pathophysiology, Diagnosis, and Management
Introduction
Pathophysiology
Incidence of Implant Rupture
Etiology of Rupture
Diagnosis
Management
Management of Saline Implant Ruptures
Management of Silicone Implant Ruptures
Conclusion
References 6: Capsular Contracture: Controversies in Etiology and Management
Introduction
Clinical Presentation
Causes
Prevention
Implant Irrigation
Insertion Devices
Prophylactic Antibiotics
Nipple Shields
Incisions
Postoperative Care
Treatment
Leukotriene Antagonists
Capsulectomy
Implant Site Change
Acellular Dermal Matrices
Case Examples
Case 1
Case 2
Conclusion
References
7: Breast Infections
Introduction
Risk Factors for Infection in Breast Augmentation
Presentation
Management
Conclusion
References