Dinner MI

Plastic and reconstructive surgeons have long sought the ideal material to fill and enhance defects of the head and body. Many of the most widely used materials present problems for the surgeon or the patient, so the search continues. For t…

The concept of the circular excision is not new. However, it was complicated by excessive postoperative areolar stretching and scar hypertrophy. The Benelli principle of a permanent subdermal pursestring suture overcame these drawbacks. We …

We report the case of an 18-year-old female undergoing routine reduction mammaplasty in whom bilateral diffuse intraductal cribriform breast carcinoma was reported upon review of the surgical specimen. This highlights the importance not onl…

We have reexamined the subcutaneous route of reconstruction of the breast following mastectomy. For either delayed or immediate reconstruction of the breast, we have used a subcutaneously placed Radovan tissue expander, followed by expansio…

There are various degrees of expression of the fully developed tubular/tuberous deformity. To develop an adequate treatment plan for this condition, the individual deformities constituting the fully expressed syndrome must be diagnosed. The…

Some variant of mastectomy remains the mainstay of the treatment of the primary tumor for the vast majority of the 110,000 new cases of cancer of the breast which will be treated this year in the United States. Reconstruction of the breast …

Meticulous attention to operative details is essential to the success of the transverse abdominal island flap in each phase of the procedure: raising the flap, transfer to the anterior chest wall, molding the flap, and repair of the donor s…

The development of reliable flaps has made breast reconstruction possible for virtually any patient who has had a mastectomy. However, most breast reconstructions are performed with implants, without flaps. The authors give examples of the …

Design details of reduction of asymmetrical hypertrophy of the breasts are discussed. The concepts apply to nearly any breast reduction technique, although here they are presented in the context of the inferior segment method, which we favo…

Postmastectomy reconstruction is an integral part of the rehabilitation of a patient with breast cancer. Four questions are to be answered: Who is a candidate? When should this be performed? What are the goals of a breast reconstruction? Ho…

The lower trapezius myocutaneous flap has proved to be another useful adjunct in the reconstructive armamentarium of the head and neck surgeon. The flap is based on the descending branch of the transverse cervical artery and vein. Providing…

The occasional patient will present for reconstruction after mastectomy who refuses a foreign-body implant or is desirous of reconstruction by autogenous tissue. An unfavorable midline abdominal scar that extends both below and above the um…

We reviewed 50 patients who had reduction mamaplasties done by us using the McKissock vertical pedicle technique. The results were satisfactory, except for the high-riding nipple which developed. We describe a minor modification which seems…

Reconstruction of the breasts after mastectomy remains controversial. The majority of patients who have undergone mastectomy can be encouraged to accept the disability with correct counselling and guidance from the surgeon. Occasionally, in…

Effective reconstructive techniques are available for immediate, primary repair of surgical defects caused by extensive ablation for malignant conditions of the head and neck. Primary repairs rely heavily on the principle of 'axial-based' s…