Preoperative preparation of implants is discussed. The best approach to and through the muscle. Details on the elevation and release of the pectoralis major muscle to avoid wrinkles and faulty breast movement with pectoral contraction. Treatment of the pocket before insertion of the implant and also treatment of the implant to avoid biofilm. Modifications and technique are described for patients with ptosis.
Postoperative care is detailed and cases reviewed.
An inferior pedicle approach is used as a model to illustrate important skin design and resection concepts as they apply to traditional inverted T-scar methods. Vertical scar reduction mammaplasty and other limited scar variants are discussed with respect to surgical technique, case selection for getting started, and general applicability today. A full length version of the video will be supplied to all course attendees as a handout. Case set-up and special equipment. A simplified approach incorporating elements from the Lassus and Lejour techniques, as well as the more recent superior-medial pedicle vertical scar method variant will be presented.