Download Breast Reconstruction: Art, Science, and New Clinical by Melvin A. Shiffman PDF

By Melvin A. Shiffman

This e-book, written by means of top overseas specialists within the box, bargains a entire assessment of the newest advancements in breast reconstruction. a specific function is the presentation of a large number of recent scientific thoughts, with top quality aiding illustrations. the outlet sections rfile the heritage of breast reconstruction, describe the anatomy of the pectoral muscle tissues, pectoral nerves and perforator flaps and supply information on preoperative imaging and making plans. After complete documentation of thoughts (including use of autogenous tissues and prosthetic implants), extra sections are dedicated to the results of chemotherapy and radiation, the position of angiography and thermography, tracking, caliber of existence results and problems and their administration. The publication could be precious either for citizens and fellows and for practising and hugely skilled beauty surgeons, plastic surgeons, normal surgeons, and people in beauty surgical subspecialties.

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Additional resources for Breast Reconstruction: Art, Science, and New Clinical Techniques

Sample text

Although free NAC grafts were of great interest after Thorek’s initial reports (1922) and Aubert’s closed “buttonhole” concept, many surgeons believed this technique should be reserved only for massive hypertrophy [222]. ” Lexer [223] described a 2-stage areolar sharing technique using the NAC as a vascular pedicle and free NAC transfers in reduction mammaplasty. His method of using a circular areolar incision for open NAC transposition to preserve skin continuity was described in Spanish and subsequently made popular by his assistant, Hans May, in the 1950s [224].

Excited with the outcomes in their animal studies, Cronin and Gerow sent a clay model of the idea to Dow Chemical Company’s joint venture, Dow Corning Corporation (Fig. 6). The first subsequent prototype, a sac made and filled with silicone, broke. However, trials with a second sac were successful and, in 1962, used for the first time in both cosmetic and postmastectomy reconstructive breast augmentation. One year later, Cronin and Gerow presented a new prosthesis, the first of its kind to exhibit a natural feel.

Paul McKissock attempted to address some of these issues with his modification of Strombeck’s technique with a “lazy S” contour at the inferior margin of the flap to provide sufficient skin envelope volume [242, 243] (Fig. 8). Use of an inferior pedicle and deepithelialization improved the blood supply, but there were issues with correcting the proportions and upward tilting of the nipple-areola complexes [215]. McKissock’s design was later refined with a bipedicled vertical dermal flap procedure with the more-inferior flap made narrow with resulting limited areolar tilting [244].

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