Enhanced Projection: Adjustable Gel Implants

In choosing a breast implant today, it is no longer simply a matter of volume. The surgeon must consider a wide variety of measurements and factors, including base diameter, height, projection, nipple-to-inframammary distance, volume, breast asymmetry, ri

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Breast Augmentation

Melvin A. Shiffman (Editor)

Breast Augmentation Principles and Practice

123

Melvin A. Shiffman, MD, JD Chairman, Surgery Section Tustin Hospital and Medical Center 17501 Chatham Drive Tustin, CA 92780-2302 USA

ISBN 978-3-540-78947-5

e-ISBN 978-3-540-78948-2

DOI 10.1007/978-3-540-78948-2 Library of Congress Control Number: 2008925097 © 2009 Springer-Verlag Berlin Heidelberg This work is subject to copyright. All rights are reserved, wether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broad-casting, reproduction on microfilm or any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in it current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registed names, trademarks etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: the publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: Frido Steinen-Broo, eStudio Calamar, Spain Reproduction, typesetting and production: le-tex publishing services oHG, Leipzig, Germany Printed on acid-free paper 987654321 springer.com

Foreword

It is a great pleasure and privilege to recommend this book on breast augmentation, having spent over 25 years of my life dealing with and operating on breasts. It is still fascinating to understand why breast augmentation has become one of the most common cosmetic operations in the world. The psychology and body image that influence a woman’s decision to have this operation are still a mystery. Many books and articles have been written about various techniques; however, you will find all of this condensed in this book, with the latest information and research to help you understand this relatively simple operation. Varying approaches and different implants have puzzled many surgeons and patients alike, and this book provides enlightenment. Implants and materials used in this operation are discussed and argued in this book and settle the score on which implant should be used in the 21st century. The positioning of the implants either above or below the muscle is discussed in detail, and the reasons behind the authors’ preferences are well demonstrated. Capsule formation has been considered as a sequela of the operation, and many speculations have been put forward as to the likely cause. However, to date, no surgeon or theory has convinced me that the answer has been found as to the likely cause of this condition, and that is why the treatment has bee