Problems in Breast Surgery: A Repair Manual is destined to become a valued part of every plastic surgeon and breast surgeon’s library. This unique book provides a virtual lifeline for addressing the challenges encountered in aesthetic and reconstructive breast surgery and avoiding possible problems and complications. This is not a traditional technique-oriented textbook; rather, it has a problem focus and provides different solutions for solving complex problems associated with secondary breast surgery.

The book begins with chapters on the basic principles of corrective breast surgery and the key anatomic factors and mechanisms of failure that are key to accurate analysis. With this foundation in place, it proceeds to address the spectrum of potential problems that can occur with each of the different procedures, ranging from breast augmentation, reduction, and mastopexy to breast and nipple-areola reconstruction. Each chapter is introduced with a specific problem presented by Drs. Fisher and Handel. Then the second portion of the chapter features a variety of solutions from different experts for treating the problem. These experts provide case examples of similar problems with a step-by-step explanation of how they solved these problems and why they took the approach that they used. The book covers both aesthetic and reconstructive breast surgery.

The goal of this text is not to judge which solution is the best (that decision is left to the reader). Rather, it is designed to provide a detailed road map explaining how to move from point A, the problem, to point B, the solution.

Beautifully Illustrated

Dramatic color illustrations and numerous preoperative, intraoperative, and postoperative images will help the reader visualize the steps of each operative solution.

Unique Features

This book’s approach is unique and should be of great educational value to surgeons, both residents and practitioners, in solving challenging problems and complications; but even more important, it will help them avoid problems and complications in future cases.

Contents

Section One: Postoperative Complications

Periprosthetic Infection after Augmentation
Late Seroma after Augmentation
Capsular Contracture after Augmentation
Impending Implant Exposure/Extrusion
Deflated Saline Implants
Intracapsular Rupture and Gel Bleed
Extracapsular Rupture, Gel Migration, and Silicone Injections
Implant Rotation With Shaped Implants
Special Problems: Malignancy After Augmentation
Section Two: Suboptimal Aesthetic Outcomes
Implant Malposition
Synmastia Repair
Double-Bubble Deformity
Upper Pole Deficiency or Contour Deformity
Inferior Pole Stretch Deformity
Animation Deformity Associated With Subpectoral Implants
Overaugmented Breast
Ptosis in Previously Augmented Breasts
Asymmetries in Previously Augmented Breasts
Explantation
Problems In Mastopexy And Augmentation Mastopexy
Section One: Postoperative Complications
Ischemia of the Nipple-Areola Complex
Compromised Skin Flaps

Section Two: Unsatisfactory Aesthetic Outcomes

Nipple Malposition
Unsatisfactory Scarring
Spreading of the Areola
Recurrent Ptosis
Flattening or Loss of Upper Pole Fullness
Inferior Stretch Deformity and Bottoming Out
Revision in Bariatric Patients of Unsuccessful Outcome After Mastopexy or Augmentation-Mastopexy
Problems in Reduction Mammaplasty

Section One: Postoperative Complications

Ischemia of the Nipple, Areola, and/or Skin Flaps

Section Two: Suboptimal Aesthetic Outcomes

Overresection of Breast Tissue
Underresection of Breast Tissue
Nipple Malposition
Bottoming Out
Unsatisfactory Shape or Contour
Problems In Breast Reconstruction With Prosthetic Devices

Section One: Postoperative Complications

Infection After Breast Reconstruction
Capsular Contracture After Breast Reconstruction
Implant and Expander Malposition
Failed Implant or Expander Reconstruction

Section Two: Suboptimal Aesthetic Outcomes

Asymmetry
Unsatisfactory Shape or Contour
Problems In Breast Reconstruction With Autologous Tissue

Section One: Postoperative Complications

Ischemic and Necrotic Tissue
Failed Tissue Transfer After Autologous Breast Reconstruction

Section Two: Suboptimal Aesthetic Outcomes

Persistent Volume Deficiencies
Asymmetry and Contour Deformities Associated With Reconstruction after Lumpectomy or Partial Mastectomy With Radiation

Section: Complications and Suboptimal Aesthetic Outcomes

Deformities After Lumpectomy, Radiation, and Breast Reconstruction
Cancer Recurrence after Breast Reconstruction
Cancer Recurrence after Implant Reconstruction
Cancer Recurrence after Autologous Reconstruction
Problems Associated with the Nipple-Areola Complex

Section One: Complications and Suboptimal Aesthetic Outcomes

Malposition, Asymmetry, Loss of Projection, Overprojection, and Areolar Spreading