J Korean Med Assoc.  2003 Oct;46(10):917-926. 10.5124/jkma.2003.46.10.917.

Plastic Surgery of the Breast

Affiliations
  • 1Keuk-SHUN SHIN's Asthetic Plastic Surgery, Korea.

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.

Keyword

Augmentation of breast; Reduction of breast; Reconstruction of breast; Correction of inverted nipples

MeSH Terms

Breast*
Cicatrix
Contracture
Female
Humans
Lactation
Mastectomy
Nipples
Quality of Life
Recurrence
Sensation
Surgery, Plastic*

Figure

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Reference

1. Baker JL Jr. Classification of spherical contractures. Presented at the Aesthetic Breast Symposium, Scottsdale, Arizona. 1975.
2. Barker DE, Retsky MI, Schultz S. "Bleeding" of silicone from baggel breast implants and its clinical relation to fibrous capsule reaction. Plast Reconstr Surg. 1978. 61:836.
Article
3. Burkhardt BR, Fried M, Schnur PL, Tofield JJ. Capsules, infection, and intraluminal antibiotics. Plast Reconstr Surg. 1981. 68(1):43–49.
Article
4. Courtiss EH, Goldwyn RM. Breast sensation before and after plastic surgery. Plast Reconstr Surg. 1976. 58:1.
Article
5. Cronin TD. The voice of polite dissent "Augmentation mammaplasty by the transaxillary approach" by JH Wright and AG Bevin. Plast Reconstr Surg. 1976. 58:621.
6. Dempsey WC, Latham WD. Subpectoral implants in augmentation mammaplasty : Preliminary report. Plast Reconstr Surg. 1968. 42:515.
7. Hoehler H. Breast augmentation : The axillary apporoach. Br J Plast Surg. 1973. 26:373.
8. Jones FR, Tauras AP. A periareolar incision for augmentation mammaplasty. Plast Reconstr Surg. 1973. 51:641.
Article
9. Shah Z, Lehman JA Jr, Tan J. Does infection play a role in breast capsular contracture? Plast Reconstr Surg. 1981. 68:34.
Article
10. Blach C. The central mound technique for reduction mammoplasty. Plast Reconstr Surg. 1981. 67:305.
11. Courtiss E, Goldwyn RM. Reduction mammoplasty by the inferior pedicle technique. Plast Reconstr Surg. 1977. 59:500.
12. Georgiade NG, Serafin D, Morris R, Georgiade G. Reduction mammoplasty utilizing an inferior pedicle nippleareola flap. Ann Plast Surg. 1979. 3(3):211–218.
13. Hatten M, Keleher C. Breast feeding after reduction mammoplasty. J Nurs Midwif. 1983. 28:19.
14. Hester TR Jr, Bostwick J 3rd, Miller L, Cunningham SJ. Breast reduction utilizing the maximally vascularized central breast pedicle. Plast Reconstr Surg. 1985. 76:890.
Article
15. McKissock PK. Reduction mammoplasty with a vertical dermal flap. Plast Reconstr Surg. 1972. 49:245.
16. Shin KS, Lee HK. Reduction mammaplasty with the short submammary scar(S-S-S) technique. Aesthetic Plast Surg. 1992. 16:109.
18. 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. 1986.
19. Cohen BB, Cronin ED. Breast reconstruction with the latissimus dorsi musculocutaneous flap. Clin Plast Surg. 1984. 11:287.
Article
20. Drever JM. The lower abdominal transverse rectus abdominis myocutaneous flap for breast reconstruction. Ann Plast Surg. 1983. 10:179.
Article
21. Little JW, Spear SL. The finishing touches in nipple areola reconstruction. Perspect Plast Surg. 1988. 2:1.
22. Morris T, Greer S, White P. Psychosocial and sexual adjustment to mastectomy : A two-year follow-up study. Cancer. 1979. 40:2381.
Article
23. Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg. 1982. 69:195.
Article
24. Shaw WW. Breast reconstruction by superior gluteal microvascular free flaps without silicone implants. Plast Reconstr Surg. 1983. 72:490.
Article
29. Cooper A. The Anatomy of the Breast. 1840. London: Longman.
30. Teimourian B, Adham MN. Simple technique for correction of inverted nipple. Plast Reconstr Surg. 1980. 65:504.
Article
31. Broadbent TR, Woolf RM. Benign inverted nipple, transnipple-areolar correction. Plast Reconstr Surg. 1976. 58:673.
Article
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