Plastic Surgery Essentials for Students-Chapter 18: Aesthetic Surgery of the Breast

Chapter 18: Aesthetic Surgery of the Breast

Pdf Summary

Chapter 18, titled "Aesthetic Surgery of the Breast: Mastopexy, Augmentation & Reduction," authored by Dr. Ali A. Qureshi and Dr. Smita R. Ramanadham, explores techniques in cosmetic breast surgery aimed at addressing ptosis, micromastia, and macromastia. These procedures strive to create aesthetically pleasing, youthful-looking breasts.<br /><br /><strong>Mastopexy (Breast Lift):</strong> This procedure corrects breast ptosis by reshaping the breast and adjusting the nipple position. The degree of ptosis is classified according to the Regnault classification, which takes into account the position of the nipple relative to the inframammary fold (IMF). Techniques include periareolar, circumvertical, and Wise-pattern mastopexy, each chosen based on the severity of ptosis and desired outcome.<br /><br /><strong>Augmentation:</strong> Focuses on increasing breast size using either autologous tissue or implants. Implants can be placed in various planes (subglandular, subfascial, subpectoral, or dual plane) and come in different shapes and materials. The procedure also considers potential complications such as Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). Autologous augmentation involves using fat or tissue from other body parts to enhance breast volume.<br /><br /><strong>Reduction:</strong> Aims to decrease breast size and reposition the nipple to alleviate symptoms like back pain and rashes. This procedure includes different incision patterns and uses various pedicle techniques to maintain blood supply to the nipple-areola complex. Other options include breast amputation with free nipple grafting in cases of very large, ptotic breasts.<br /><br />Each surgical approach demands careful patient assessment and consideration of breast history, morphology, and patient concerns for optimal outcomes. Complications across the procedures may include changes in sensation, inability to breastfeed, and risk of necrosis. Proper technique selection and surgical expertise are critical for minimizing these risks and achieving patient satisfaction.

Keywords

breast surgery

mastopexy

breast augmentation

breast reduction

ptosis

micromastia

macromastia

breast implants

autologous augmentation

surgical complications