Breast surgery by Nathalie Bricout MD (auth.)

By Nathalie Bricout MD (auth.)

Much development has been made in recent times and new strategies were built within the box of cosmetic surgery of the breast. Breast Surgery provides plastic surgeons with a finished precis of present perform and the concepts available.
Clearly written in language obtainable to either experts and non-specialists, Breast Surgery provides a range and variety of concepts with which first-class leads to either plastic and reconstructive breast surgical procedure could be completed. Over six hundred drawings and pictures, either in black and white and in color, accompany the textual content, offering the plastic health professional with clearly-illustrated directions 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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26). 5 cm diameter. Fig. 26. Adequate dimensions of an operated breast Photography For the plastic surgeon the aims of photography are to provide a bank of illustrations easy to utilise, both for the personal analysis of results and for the purposes of audiovisual or written communication, or even for medicolegal purposes, by means of equipment that is relatively simple but of good quality, readily transportable and allowing work under simple conditions, either in the consulting room or in the operating room.

This can be done by using a scialytic lamp as additional lighting opposite the lens and shining through the 34 The normal breast subject being photographed (fig. 27), with the flash physically separate trom the camera but connected to it by a flex, so as to ensure correct exposure (fig. 28). Lenses Two fixed-focus lenses suffice. It is better to use fixed-focus lenses rather than a zoom lens to standardise the shooting conditions and to provide comparable fIlms. The pre- and postoperative fIlms are made with a small tele-Iens of 105 mm, allowing for macrophotography.

There is also a not inconsiderable risk of scar hypertrophy when the midline is approached. Closure of such an incision is also made in two layers, placing the margins under slight tension by two hooks at both ends of the incision, so as to prevent slippage. The deep dermal layer is closed with inverting interrupted sutures of slowly-absorbed 3/0 or 4/0 gauge, the superficial intradermal plane with rapidlyabsorbed fine material or monofllament nylon. 48 Surgical approaches to the breast Axillary route This allows easier access to a lesion situated in the axillary prolongation of the gland.

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