Intro; Tribute to Prof. Ivo Pitanguy; Foreword I; Foreword II; Preface; Acknowledgments; Contents; List of Contributors; Part I: General Information for Breast Surgery; 1: Importance of Pitanguy's Technique for the Evolution of Aesthetic Breast Surgery; 1.1 Introduction; 1.2 Method; 1.2.1 Surgical Principles; 1.2.2 Surgical Marking; 1.2.3 Glandular Resection; 1.2.4 Creation of the "Third" Pedicle; 1.2.5 Suture of Mammary Tissue to Pectoralis; 1.2.6 Repositioning the New Nipple-Areola Complex; 1.3 Discussion; References
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2: The Pitanguy Technique for the Surgical Treatment of Breast Hypertrophy2.1 Introduction; 2.2 History; 2.3 The Pitanguy Technique; 2.4 Some Considerations About the Technique; 2.5 Author's Experience with Pitanguy Technique; 2.6 Technical Variations; 2.7 Personal Contribution: Adjuvant Maneuver to Pitanguy's Technique; References; 3: Clinical Evaluation and Surgical Planning for Aesthetic Breast Surgery; 3.1 Introduction; 3.1.1 Psychological Problems of the Patients; 3.1.1.1 Patient's Evaluation; 3.1.1.2 Surgical Planning; 3.1.1.3 Pre-marking; 3.2 Discussion; References
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4: Technical Systematization in Mammoplasty4.1 Introduction; 4.2 Method; 4.2.1 Surgical Marking: Pre-marking; 4.3 Surgical Technique; 4.3.1 Anesthesia; 4.3.2 Anesthetic Infiltration; 4.3.3 Glandular Resection; 4.3.4 Suture of Glandular Tissue; 4.3.5 Repositioning the Nipple-Areola Regions; 4.3.6 Suturing of the Skin; 4.4 Discussion; 4.5 Complications; References; 5: Anesthesia for Aesthetic Breast Surgery; 5.1 Introduction; 5.2 Method; 5.2.1 Preoperative Evaluation; 5.2.1.1 At the Hospital; 5.2.2 Premedication; 5.2.2.1 Breast Surgery; 5.2.3 The Choice of Anesthesia
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5.2.3.1 General Anesthesia5.2.3.2 Local Anesthesia Combined with Intravenous Sedation; 5.2.3.3 Epidural Anesthesia Combined with Intravenous Sedation; 5.2.3.4 Intercostal Block Infiltration Combined with Intravenous Sedation; 5.2.3.5 Local Anesthesia Without Participation of an Anesthesiologist; 5.3 Discussion; 5.4 Complications; References; 6: History of Breast Reduction; References; Part II: Surgical Options for Reduction Mammaplasty; 7: Reduction Mastoplasty with a Short Scar; 7.1 Introduction; 7.2 Method; 7.2.1 Surgical Planning; 7.2.2 Surgical Technique
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7.2.3 Surgical Marking7.2.3.1 Pre-Marking; 7.2.3.2 Anesthesia; 7.2.4 Anesthetic Infiltration; 7.2.5 Glandular Resection; 7.2.6 Repositioning the New Nipple-Areola Region; 7.2.6.1 Dressing After Surgery; 7.3 Discussion; 7.4 Complications; References; 8: Reduction Mammaplasty in a Single Central Block; 8.1 Introduction; 8.2 Method; 8.3 Technique; 8.4 Results; 8.5 Discussion; 8.6 Complications; References; 9: The Triple-Flap Interposition Mammaplasty: Personal Technique; 9.1 Introduction; 9.2 History; 9.2.1 The Pioneers (1901); 9.2.2 The Period of Safety
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SUMMARY OR ABSTRACT
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This book presents the latest and most essential techniques in Aesthetic Mastoplasty, an important field in plastic surgery that allows us to reshape breasts in harmony with the body's contours and with the patients' sense of beauty. Moreover, there have been major advances in this area in recent years, leading to improved and more tailored surgical outcomes. Breast surgeons should familiar with the most recent techniques in breast surgery, in order to provide a high standard of quality and patient-tailored surgical service. With these goals in mind, the book discusses the most important issues in the field, divided into four different sections: General Information for Breast Surgery, Surgical Principles of Breast Surgery, Breast Augmentation, and Liposuction and Lipoinjection.