Synopsis ▪ Macromastia, or mammary hypertrophy, is a disease process which can result in physical and psychological symptoms. ▪ Macromastia symptoms rarely improve without surgical intervention, which typically results in significant improvement in the patient's quality of life. ▪ Reduction…
Synopsis ■ Mastopexy ■ Breast ptosis presents in many forms and can be congenital in nature or acquired due to causes such as aging, weight changes, and pregnancy. ■ Patients with ptosis generally desire the same result – youthful and…
Synopsis ■ Breast augmentation is one of the most commonly performed aesthetic procedures in the United States and abroad. ■ Preoperative assessment should determine the appropriate approach, including choice of implant, breast pocket (submuscular, subfascial, subglandular, subpectoral with dual plane),…
Synopsis ■ Defects due to failed laparotomy closures, tumor ablation, congenital anomalies, and trauma are the most common indications for abdominal wall reconstruction (AWR). ■ Ventral hernias can be the result of a genetic predisposition in impaired collagen formation or…
Synopsis ■ Reconstruction of the soft tissues of the back at first may seem to be a daunting task compounded by large wounds, unfamiliar and segmental anatomy, radiation, hardware, and difficulties with postoperative positioning. ■ Many of the conditions treated…
Synopsis ▪ Rigid chest wall support may be achieved with mesh, acellular dermal matrix, or autogenous material such as tensor fascia lata (TFL). Of these, alloplastic mesh is most prone to infection. ▪ Soft tissue coverage can be achieved with…
Synopsis ■ The reconstructive surgery for the lower extremity has evolved from a staged approach to proving best solutions for functional and cosmetic outcome. ■ This chapter covers the classical approach with a gradual change of principle that advocates a…
Synopsis ▪ Normal speech is the primary goal of cleft palate repair; minimizing effects of maxillary growth is also important but ultimately secondary. ▪ Cleft palate repair prior to 1 year of age (ideally 9–10 months) results in better speech…
Synopsis Unilateral lip repair Principles of unilateral cleft lip repair ▪ Presurgical nasoalveolar molding. ▪ Modification of surgical techniques. ▪ Mohler rotation incision. ▪ Mucosal flaps for nasal floor reconstruction, correction of mucosal deficiency in piriform area. ▪ Eliminate the…
Synopsis ▪ Always consider the defect when planning a flap. ▪ Assess availability and laxity of local tissue. ▪ Rob Peter to pay Paul but only if Peter can afford it. ▪ Match the flap to the defect, not the…