Plastic surgery of the breast includes; augmentation, reduction, Plastic Surgery of the Breast. Abstract. Continuing Education Column
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1 Plastic Surgery of the Breast Keuk Shun Shin, M.D. Keuk SHUN SHIN s Asthetic Plastic Surgery E mail: drsks@drsks.co.kr Abstract Plastic surgery of the breast includes; augmentation, reduction, reconstruction of the breast and correction of inverted nipples. For breast augmentation I herein introduce a technique of augmentation while preventing the occurrence of capsular contracture. For reduction surgery, I emphasize a short scar, preservation of nipple sensation and lactation. For reconstruction I suggest that a general surgeon should have a keen interest in reconstruction after mastectomy for better outcomes and improvement in quality of life of the patient. Finally I discuss correction surgery for inverted nipples, which is a challenging field in breast surgery because of its high recurrence rate and possibility of compromised breast feeding after surgery. Keywords : Augmentation of breast; Keywords : Reduction of breast; Keywords : Reconstruction of breast; Keywords : Correction of inverted nipples 917
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7 16. Dempsey WC, Latham WD. Subpectoral implants in augmentation mammaplasty : Preliminary report. Plast Reconstr Surg 1968 ; 42 : Hoehler H. Breast augmentation : The axillary apporoach. Br J Plast Surg 1973 ; 26 : Jones FR, Tauras AP. A periareolar incision for augmentation mammaplasty. Plast Reconstr Surg 1973 ; 51 : Baker JL Jr. Classification of spherical contractures. Presented at the Aesthetic Breast Symposium, Scottsdale, Arizona, Barker DE, Retsky MI, Schultz S. Bleeding of silicone from bag gel breast implants and its clinical relation to fibrous capsule reaction. Plast Reconstr Surg 1978 ; 61 : Burkhardt BR, Fried M, Schnur PL, Tofield JJ. Capsules, infection, and intraluminal antibiotics. Plast Reconstr Surg 1981 ; 68(1) : Courtiss EH, Goldwyn RM. Breast sensation before and after plastic surgery. Plast Reconstr Surg 1976 ; 58 : Cronin TD. The voice of polite dissent Augmentation mammaplasty by the transaxillary approach by JH Wright and AG Bevin. Plast Reconstr Surg 1976 ; 58 : Shah Z, Lehman JA Jr, Tan J. Does infection play a role in breast capsular contracture? Plast Reconstr Surg 1981 ; 68 : Blach C. The central mound technique for reduction mammoplasty. Plast Reconstr Surg 1981 ; 67 : Courtiss E, Goldwyn RM. Reduction mammoplasty by the inferior pedicle technique. Plast Reconstr Surg 1977 ; 59 : Georgiade NG, Serafin D, Morris R, Georgiade G. Reduction mammoplasty utilizing an inferior pedicle nippleareola flap. Ann Plast Surg 1979 ; 3(3) : Hatten M, Keleher C. Breast feeding after reduction mammoplasty. J Nurs Midwif 1983 ; 28 : T. Roderick Hester Jr, John Bostwick, Leonard Miller, Sally J Cunningham. Breast reduction utilizing the maximally vascularized central breast pedicle. Plast Reconstr Surg 1985 ; 76 : McKissock PK. Reduction mammoplasty with a vertical der- 923
8 mal flap. Plast Reconstr Surg 1972 ; 49 : Shin KS, Lee HK. Reduction mammaplasty with the short submammary scar(s S S) technique. Aesthetic Plast Surg 1992 ; 16 : , ; 19 : Beegle PH, Hartrampf CR. Microvascular augmentation of the transverse abdominal flap in chest wall reconstruction. Presented at the Annual Scientific Meeting of the American Society of Plastic and Reconstructive Surgeons, Los Angeles, October Cohen BB, Cronin ED. Breast reconstruction with the latissimus dorsi musculocutaneous flap. Clin Plast Surg 1984 ; 11 : Drever JM. The lower abdominal transverse rectus abdominis myocutaneous flap for breast reconstruction. Ann Plast Surg 1983 ; 10 : Little JW, Spear SL. The finishing touches in nipple areola reconstruction. Perspect Plast Surg 1988 ; 2 : Morris T, Greer S, White P. Psychosocial and sexual adjustment to mastectomy : A two year follow up study. Cancer 1979 ; 40 : Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg 1982 ; 69 : Shaw WW. Breast reconstruction by superior gluteal microvascular free flaps without silicone implants. Plast Reconstr Surg 1983 ; 72 : ,, ; 17 : 6 26.,,, ; 11 : 4 27.,,, ; 19 : 3 28.,, ; 16 : Cooper A. The Anatomy of the Breast. London : Longman, Teimourian B, Adham MN. Simple technique for correction of inverted nipple. Plast Reconstr Surg 1980 ; 65 : Broadbent TR, Woolf RM. Benign inverted nipple, transnipple areolar correction. Plast Reconstr Surg 1976 ; 58 : ,,. Teimourian ; 21 : 5 924
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