By Nathalie Bricout MD (auth.)
Much growth has been made in recent times and new suggestions were constructed within the box of cosmetic surgery of the breast. Breast Surgery offers plastic surgeons with a finished precis of present perform and the recommendations available.
Clearly written in language obtainable to either experts and non-specialists, Breast Surgery offers a spread and diversity of recommendations with which very good leads to either plastic and reconstructive breast surgical procedure may be accomplished. Over six hundred drawings and pictures, either in black and white and in color, accompany the textual content, delivering the plastic health care professional with clearly-illustrated guidance to follow.
Dr. Nathalie Bricout is a number one determine within the box of cosmetic surgery of the breast in France.
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Extra resources for Breast surgery
The top of the film must show the shoulders entirely, allowing verification that they are really horizontal and assessment of the shape of the thorax. To ensure this, and also for esthetic reasons, we place the upper limit of the film in the viewer just below the angle between neck and chin. Laterally, the shoulders (quite horizontal) and the arms (placed straight by the side of the body) must be visible. We prefer the arms in this position rather than with the hands behind the back, since in the latter position the patient may not hold herself properly upright.
Lighting A single flash, ftxed on a camera in frontal position, is usually satisfactory. Those which can be variably angled are preferable. Forward angulation is useful for close-up views, whereas in some cases it may be desirable to direct the light up to the ceiling and to photograph in reflected light. The annular flash has important indications, especially in macrophotography, endobuccal photography and close-up views of the face. However, it is inadvisable for the shots that interest us in the surgery of the breast, since it tends to "flatten" the subject by eliminating the relief.
The importance of this element becomes apparent in the techniques for reduction of the hypertrophic breast, where it is essential that the scar be placed transversely at this level. Any exaggerated maneuvers to place the inframammary crease higher up, in mammary skin, by transforming the mammary skin of the inferior part of breast segment III into thoracic skin (attempts aimed to minimise the scar defect) are doomed to failure, the inframmary crease returning to its original position after a few weeks or months, while the transverse scar ascends on the lower slope of the breast to become more apparent than if it had been placed correctly in the crease initially.