Few surgical texts are able to provide readers with a level of descriptive and visual detail sufficient to be considered a primary manual for surgical procedures. Surgeons typically face the daunting task of extensive research through various texts to piece together a picture comprehensive enough to guide them through a new procedure. This prospect is especially formidable in the field of plastic and reconstructive breast surgery, in which techniques are constantly evolving and older texts describe procedures that have long since been supplanted by superior methods and innovative approaches.

This fourth edition of Bostwick’s Plastic and Reconstructive Breast Surgery, edited by premier breast surgeon Glyn E. Jones, provides just that manual for breast and plastic surgeons. This comprehensive text encompasses every key ingredient for a step-by-step surgical guide to breast surgery:

• An expanded microsurgical section incorporating the most widely used flaps and recent advances
• Extensive coverage of revolutionary prepectoral breast reconstruction, both single stage direct-to-implant approaches and 2-stage expander-implant pre-pectoral reconstruction
• A comprehensive approach to lymphedema surgery
• Exposure to state-of-the-art implant technology
• Contributing authors from around the globe who are heralded as the best in their field at technique and innovation
• Detailed coverage of relevant and groundbreaking new technologies that are redefining plastic surgery of the breast
• Step-by-step detailed technical operative details including technical nuances rarely outlined in surgical texts
• High-quality, updated surgical images and intricate surgical illustrations as well as pertinent radiographic examples
• An extensive collection of pertinent surgical videos, which stream directly from the publisher’s website
• Technical caveats to ensure success of the surgical techniques described
• Concise but thorough chapters presented in both print and electronic formats for easy access by busy surgeons

Surgeons must be highly skilled in cosmetic breast surgery as well as in prepectoral approaches, single-stage direct-to-implant reconstruction, and microsurgery to remain competitive in the plastic and reconstructive breast surgery field. Every dedicated breast surgeon will want this essential text at their fingertips!

Contents

۱ Anatomy, Physiology, and Aesthetics
۲ Breast Aesthetics
۳ Oncological Aspects of Nipple-Sparing Mastectomy
۴ Oncological Aspects of Breast Reconstruction
۵ Gene Mutations and Breast Cancer Risk: Overview and Management
۶ Multimodality Imaging in the Interdisciplinary Management of Breast Diseases
۷ Technological Advances in Breast Surgery
۸ Fat Grafting in Breast Surgery: The Data
۹ Fat Grafting to the Breast: Aesthetic and Reconstructive Applications
۱۰ Fat Grafting to the Breast in Prepectoral Breast Reconstruction—A Current Overview
۱۱ Preoperative Evaluation of the Breast Augmentation Patient
۱۲ Implant Technology
۱۳ Breast Implant-Associated Anaplastic Large Cell Lymphoma
۱۴ Augmentation Mammaplasty with Cohesive Gel Implants
۱۵ Subpectoral Breast Augmentation (Inframammary Approach)
۱۶ Subfascial Inframammary Breast Augmentation
۱۷ Transaxillary Approach to Endoscopic Breast Augmentation
۱۸ Periareolar Breast Augmentation
۱۹ Managing Asymmetry and Congenital Anomalies
۲۰ Managing Complications in Breast Augmentation
۲۱ Decision Making in Mastopexy
۲۲ Periareolar Mastopexy
۲۳ Vertical Mastopexy
۲۴ The Wise Pattern Mastopexy
۲۵ Decision Making in Mastopexy Augmentation
۲۶ Periareolar Mastopexy Augmentation
۲۷ Vertical Mastopexy Augmentation
۲۸ The Wise Pattern Mastopexy Augmentation
۲۹ Prevention and Management of Complications in Mastopexy Augmentation
۳۰ Breast Surgery after Massive Weight Loss
۳۱ Vertical Superior Pedicle Breast Reduction (Modified Lassus Technique)
۳۲ Superomedial Vertical Breast Reduction
۳۳ Superomedial Pedicle Technique with Inverted-T Closure (Wise Pattern)
۳۴ Central Mound Inferior Pedicle Technique
۳۵ Free Nipple Graft Technique
۳۶ Outcomes and Reducing Complications in Breast Reduction
۳۷ Gynecomastia: Evaluation and Treatment
۳۸ Decision Making in Breast Reconstruction
۳۹ Prepectoral Breast Reconstruction: Direct-to-Implant versus Two-stage
۴۰ Two-Stage Subpectoral Tissue Expander–Implant Reconstruction
۴۱ Subpectoral Direct-to-Implant Single-Stage Reconstruction
۴۲ Prepectoral Direct-to-Implant Breast Reconstruction
۴۳ Prepectoral Site Conversion for Animation Deformity
۴۴ Two-Stage Prepectoral Prosthetic Breast Reconstruction
۴۵ Preventing and Managing Complications of Expander–Implant Reconstruction
۴۶ Implant-Based Reconstruction and Radiation
۴۷ Latissimus Dorsi Flap Anatomy
۴۸ Latissimus Dorsi Flap Reconstruction
۴۹ Preventing and Managing Complications in Latissimus Dorsi Flap Reconstruction
۵۰ Anatomy of the TRAM Flap and Abdominal Donor Site
۵۱ Transverse Rectus Abdominis Musculocutaneous Flaps
۵۲ Preoperative Planning and Imaging of the DIEP Flap
۵۳ DIEP Flap Reconstruction and Technique
۵۴ Prevention and Management of Complications in DIEP Flap Reconstruction
۵۵ Muscle-Sparing Free TRAM Flap Reconstruction
۵۶ Superficial Inferior Epigastric Artery Perforator Flap
۵۷ Transverse Upper Gracilis Flap
۵۸ Profunda Artery Perforator Flap
۵۹ Superior Gluteal Artery Perforator Free Flap
۶۰ Lumbar Artery Perforator Flap
۶۱ Principles of Oncoplastic Breast Surgery and Patient Selection
۶۲ Oncoplastic Reconstruction by Tumor Location and Outcomes
۶۳ Managing Complications after Breast Radiation Therapy
۶۴ Nipple-Areolar Reconstruction
۶۵ Surgical Treatment of Lymphedema
۶۶ Salvage of Complex Problems