Plastic Surgery Key

Prepectoral implant placement Subpectoral implant placement Pro Con Pro Con Pectoralis major muscle intact Visibility Less visibility Dissection of the pectoralis major muscle No loss of strength Palpability Less palpability…

Fig. 15.1 Preoperative radiation therapy . (Left) Fifty-seven-year-old patient who had been previously treated with left partial mastectomy and radiation therapy. The patient underwent bilateral nipple-sparing mastectomy and staged subcutaneous…

Inframammary incision preferred  Small-/medium-sized breasts  Minimal ptosis  Small NAC diameter  Prior circumareolar incisions Consideration for other incisions  Moderate/severe ptosis requiring NAC repositioning  High likelihood of post-mastectomy XRT Special Considerations Autologous…

Fig. 22.1 Team approach to inframammary nipple-sparing mastectomy . (a) Both oncologic surgeon and plastic surgeon work simultaneously on opposite sides of the table to start the axillary dissection and…

Fig. 2.1 Plate VI Figure 2 Mammary ducts injected with red, yellow, black, green, and brown. (From Cooper A. On the anatomy of the breast. London: Longman; 1840 with permission)…

Fig. 7.1 Buttonhole preoperative marking showing the curved horizontal line defining the lower border of the upper flap. The upper flap is buttonholed to receive the nipple-areola that is carried…

Complication Reported incidence (range), % Pulmonary embolus [4–6] 0–0.2 Cardiac event [6] <0.1 Deep venous thrombosis [4–7] 0.3–0.7 Pneumonia [6] 0.2 Bleeding [4, 5, 7] 0.4–11.6 Infection (cellulitis) [4, 6,…

Fig. 17.1 (a) Thirty-nine-year-old female with right breast invasive ductal carcinoma , following right nipple-sparing mastectomy, tissue expander placement, and postmastectomy radiation therapy. The right breast has healed and the…