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Plastic Surgery Complete: Breast Augmentation Collection www.PRSJournal.com Plastic Surgery Complete The Clinical Masters of PRS BREAST AUGMENTATION Senior Publisher: Elizabeth Durzy Editor-in-Chief: Rod J Rohrich, MD Managing Editor: Aaron Weinstein Production Director: Leslie Caruso Managing Editor, Production: Erika Fedell Senior Production Editor: Jeda Taylor Production Manager: Jennifer Aronstein Creative Director: Larry Pezzato Copyright © 2014 by the American Society of Plastic Surgeons. Articles originally published in Plastic and Reconstructive Surgery. Visit www.PRSJournal.com for journal information. Published by Wolters Kluwer Health/Lippincott Williams & Wilkins Two Commerce Square 2001 Market Street Philadelphia, PA 19103 ISBN: 9781496304865 All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia PA 19103, Via e-mail at [email protected], or Via website at lww.com (products and serVices). DISCLAIMER Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner. Cover art © 2014 Alexandra B. Hernandez Alexandra B. Hernandez of Gory Details Illustration Plastic Surgery Complete The Clinical Masters of PRS BREAST COLLECTION denotesassociatedvideo CONTENTS BREAST AUGMENTATION Foreword Foreword to the Breast Augmentation Collection Maurice Y. Nahabedian, M.D. MOC Evidence-Based Medicine: Augmentation Mammaplasty Frank Lista, M.D., and Jamil Ahmad, M.D. CME Breast Augmentation William P. Adams Jr., M.D., and Patrick Mallucci, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. Breast Augmentation David A. Hidalgo, M.D., and Jason A. Spector, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. Classic Articles Dual Plane Breast Augmentation: Optimizing Implant–Soft- Tissue Relationships in a Wide Range of Breast Types John B. Tebbetts, M.D. On the Cover Cover art by Alexandra B. Hernandez of Gory Details Illustration The Process of Breast Augmentation: Four Sequential Steps for Optimizing Outcomes for Patients William P. Adams, Jr., M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. Preoperative Sizing in Breast Augmentation David A. Hidalgo, M.D., and Jason A. Spector, M.D. Brava and Autologous Fat Transfer Is a Safe and Effective Breast Augmentation Alternative: Results of a 6-Year, 81-Patient, Prospective Multicenter Study Roger K. Khouri, M.D., Marita Eisenmann-Klein, M.D., Eufemiano Cardoso, M.D., Brian C. Cooley, Ph.D., Daniel Kacher, M.S., Eva Gombos, M.D., and Thomas J. Baker, M.D. Understanding the Fascial Supporting Network of the Breast: Key Ligamentous Structures in Breast Augmentation and a Proposed System of Nomenclature Simone A. Matousek, F.R.A.C.S., Russell J. Corlett, F.R.A.C.S., and Mark W. Ashton, F.R.A.C.S. Baker Gordon Symposium on Cosmetic Surgery The Bilamellar Approach to Breast Augmentation: Combining Implants with Autologous Fat Grafting A lecture video by Daniel Del Vecchio, MD, from the 46th Annual Baker Gordon Symposium on Cosmetic Surgery In this video, fi lmed at the 2012 Baker Gordon meeting, Dr. Del Vecchio discusses combining implants with autologous fat grafting: the bilamellar approach to breast augmentation. Del Vecchio displays why the future of breast augmentation may involve a combination of implant and fat, working together, to achieve an optimal balance: the core projection of an implant and the natural look and feel of fat. Used with permission from James Stuzin, MD. Baker Gordon Symposium on Cosmetic Surgery Acellular Dermal Matrices in Breast Augmentation An interactive surgical video by G. Patrick Maxwell, MD, from the 45th Annual Baker Gordon Symposium on Cosmetic Surgery In this four-part video, fi lmed at the 2011 Baker Gordon meeting, Dr. Maxwell demonstrates the use of acellular dermal matrix in reoperative breast surgery. The technical details of combining breast implant replacement, capsulectomy, and incorporating acellular dermal matrix to improve implant coverage as well as a matrix for tissue ingrowth and regeneration are delineated. This treatment algorithm allows for more control of postoperative breast contour and is a method to diminish recurrent capsular contracture. Used with permission from James Stuzin, MD. Baker Gordon Symposium on Cosmetic Surgery Autologous Fat Transfer Breast Augmentation A surgical video by Roger Khouri, MD, from the 45th Annual Baker Gordon Symposium on Cosmetic Surgery In this four-part surgical video, presented at the 2011 Baker Gordon meeting, Dr. Khouri and his team perform autoglogous fat transfer breast augmentation. The team augments and corrects the tuberous breast deformity of a young woman who had expanded her breast with Brava for 4 weeks prior to the procedure. Used with permission from James Stuzin, MD. Visit Plastic and Reconstructive Surgery Online for CME articles and exams, supplemental material, and more. PLASTIC AND RECONSTRUCTIVE SURGERY® (ISSN 0032-1052) is the offi cial journal of the American Society of Plastic Surgeons and is published monthly by Lippincott Williams & Wilkins, 16522 Hunters Green Parkway, Hagerstown, MD 21740-2116. Business offi ces are located at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103. Production offi ces are located at 351 West Camden Street, Baltimore, MD 21201-2436. Printed in USA on acid-free paper. Subscription rates: $905 individual domestic, $905 individual international, $1395 institutional domestic, $1883 institutional international, $448 resident/student domestic, $448 resident/student international, $158 single copy. The GST number for Canadian subscribers is 895524239RT. Canadian Publication Agreement 40052291. (Prices subject to change.) POSTMASTER: Send address changes to PLASTIC AND RECONSTRUCTIVE SURGERY®, P.O. Box 1550, Hagerstown, MD 21740. Periodicals postage paid at Hagerstown, Maryland, and at additional mailing offices. © 2014 by the American Society of Plastic Surgeons. FOREWORD Foreword to the Breast Augmentation Collection Maurice Y. Nahabedian, MD he Clinical Masters Series of Plastic and Reconstructive Surgery is designed to provide Tplastic surgeons with a compilation of infor- mative and instructive articles related to various topics. Within the breast series is a comprehensive section on augmentation mammaplasty. There are numerous articles on this topic describing a variety of techniques for augmentation mammaplasty. This collection of high-quality articles should provide rel- evant and detailed information that will be useful to experienced and novice surgeons with an interest in breast augmentation. Like all types of breast surgery, breast augmenta- tion has been described with a variety of methods and techniques, all of which have demonstrated success Also contributing to the evidence-based literature under specifi c circumstances. As such, there has been is Frank Lista He provides evidence-based medicine an emphasis on evidence-based articles that will guide evaluating the role of biofi lm in the development of surgeons toward achieving predictable and reproduc- capsular contracture and provides evidence to prevent ible outcomes. Hidalgo and Spector in a CME arti- and manage double capsules and late seromas. cle emphasize the importance and options regarding incisions, pocket planes, and specifi c implant charac- Other breast augmentation topics covered in this teristics, all of which are paramount for surgical plan- series include preoperative sizing, acellular dermal ning. They also discuss assessing patient expectations matrices, the key ligamentous structures in the breast., and including them in the decision-making process optimizing outcomes, and the role of fat grafting. Fat to improve overall patient satisfaction and reduce grafting for breast augmentation has become a hot requests for secondary surgery. Adams and Mallucci topic in plastic surgery. Roger Khouri is one of the in another CME article emphasize the importance leaders and pioneers in this area and has evaluated out- of patient education, tissue-based preoperative plan- comes using external expansion and autologous lipo- ning, refi ned surgical technique, and defi ned postop- fi ll for primary breast augmentation in women with up erative management. They espouse the concept that to 6-year follow-up. Watch a four-part video in which the nonsurgical aspects of breast augmentation are Khouri and his team perform autologous fat transfer more important for optimizing outcomes and mini- breast augmentation in the Baker Gordon Symposium mizing reoperation and complications. In the John video included at the end of this collection.
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