Breast and body-contouring surgery, discussed in the literature for hundreds of years, has increasingly evolved over time. While new techniques are hardly ever actually new (once an intensive literature search is done), we do see change, whether it be the addition of a new suspension suture or a combination of techniques that were not combined before. This field has applications across a broad swath of the population, from the petite “mommy” looking for a makeover to the male who lost more than 100 lb after gastric bypass surgery. There are many techniques to cover, and we aim to include an excellent representation.
This atlas is directed to residents preparing for surgical cases and to seasoned plastic surgeons hoping to innovate or refresh their current surgical repertoire. We cover the scope of breast surgery, including reduction, augmentation, lifting, and gynecomastia; arm and thigh contouring with liposuction and excisional techniques; abdominoplasty, upper and lower, with hernia repair techniques; and back contouring. We have included the traditional, well-hewn techniques, as well as techniques which are increasingly finding a place in contemporary plastic surgery. Every surgeon needs to be equipped with a handful of techniques for each type of surgery, such as breast reduction or gynecomastia or thigh lift, to best serve the broad range of patient presentations we see.
Each section includes detailed anatomic illustrations by Bill Winn describing the regions of interest. These illustrations should provide a landscape for surgical planning. The illustrations guide important planes for surgical dissection. They also provide information about neurovascular anatomy to understand supply to the skin and muscle, and importantly, to avoid injury. This atlas opens with discussions regarding perioperative issues. We are performing procedures that involve greater time in the operating room and are combining multiple procedures that complement one another. Positioning resulting in prolonged compression or stretch must be avoided, as sequelae may be permanent and disabling. We have patients with baseline medical issues and medications that need to be considered in designing the safest surgical approach and in advising patients. We need to anticipate and prevent bad outcomes and optimize postoperative care. This atlas provides this perioperative guidance while also describing surgical technique.
The endpoint of breast and body-contouring surgery is provision of the best possible contour while respecting important safety issues and continually innovating to improve outcomes. The goal of this atlas is to help in this endeavor and provide a “soup to nuts” approach to plastic surgery of the breast and body.
Contents
- Preface
- Acknowledgments
PART I PERIOPERATIVE ISSUES
Section 1 Introduction
- 1. Safety in Body-Contouring Surgery
- 2. Operative Positioning and Precautions
- 3. Managing Expectations and Psychosocial Issues
- 4. Nonprescription Medications to Avoid
- 5. Massive Weight Loss
- 6. Surgical Wound Care and Complication Management
PART II OPERATIVE PROCEDURES
Section 2 Upper Extremity
- 7. Presentation for Upper Extremity Contouring
- 8. Upper Extremity - Anatomy
- 9. Upper Extremity Liposuction
- 10. Traditional Brachioplasty
- 11. Extended Brachioplasty
- 12. Minimal Incision Brachioplasty
Section 3 Female Breast
- 13. Common Presentation for Breast Contouring
- 14. Female Breast - Anatomy
- 15. Liposuction of the Breast
- 16. Wise Pattern Breast Reduction with Inferior Pedicle
- 17. Traditional Wise Pattern Mastopexy with Autoaugmentation
- 18. Vertical Pattern Breast Reduction with Superior Pedicle
- 19. Vertical Pattern Mastopexy (with Augmentation)
- 20. Wise Pattern Superior Pedicle Breast Reduction with Nipple Grafting
Section 4 Male Chest - Gynecomastia
- 21. Gynecomastia Presentation and Its Enormous Variability
- 22. Male Chest: Gynecomastia - Anatomy
- 23. Gynecomastia Liposuction
- 24. Gynecomastia - Excisional Technique
- 25. Mastectomy Through a Horizontal Approach
- 26. Gynecomastia - Wise Pattern Excision Technique
- 27. Gynecomastia - Vertical Excision Technique
- 28. Gynecomastia - Extended Technique with J Excision
Section 5 Abdomen
- 29. Abdominal Presentation for Abdominal Contouring
- 30. Abdomen - Anatomy
- 31. Abdominal Liposuction
- 32. Abdominoplasty with Abdominal Wall Plication
- 33. Mini-abdominoplasty Combined with Liposuction
- 34. Reverse Abdominoplasty
- 35. Panniculectomy
- 36. Massive Panniculectomy
- 37. Ventral Hernia Repair and Abdominoplasty
- 38. Umbilical Hernia Repair at the Time of Abdominoplasty
Section 6 Back
- 39. Back Presentation for Contouring
- 40. Back - Anatomy
- 41. Back Liposuction and Fat Grafting
- 42. Upper Back Lift
- 43. Upper Body Lift with Autologous Breast Augmentation
- 44. Lower Back Lift
- 45. Belt Lipectomy with Autologous Gluteal Augmentation
Section 7 Lower Extremity
- 46. Presentation for Lower Extremity Contouring
- 47. Lower Extremity—Anatomy
- 48. Lower Extremity Liposuction
- 49. APEX (Proximal) Thigh Lift
- 50. Extended Thigh Lift
Index
Product Details
- Hardcover: 304 pages
- Publisher: McGraw-Hill Professional; 1 edition (2011)
- Language: English
- ISBN-10: 0071604677
- ISBN-13: 978-0071604673
- Product Dimensions: 10.9 x 8.6 x 1 inches
List Price: $199.00