Preface

 Body contouring surgery is one of the most common procedures performed by plastic surgeons worldwide. As the world advances, new technologies have been developed in all areas of medicine, and aesthetic surgery is no exception. New procedures and new technologies are being applied in our field, so it is mandatory for us to know how to use them and what are their main indications and possible results, so we can routinely apply them to our patients. Body contouring surgery is a very passionate field that demands careful planning and flawless execution. This is why we have gathered a group of clinicians and scientists with vast experience in body contouring surgery to discuss breast and body contouring surgery as the main objectives in this book.

 The book is divided in two sections. Section 1 is called Breast Reshaping and it includes two chapters. In Chapter 1 Prof. Tang-Yueh-Bih discusses some of the most common procedures in breast surgery, special considerations during surgery, and postoperative care. In Chapter 2, MD Cuzalina Angelo and collaborators walk us through the process of simultaneous mastopexy and breast augmentation. Section 2 is called Abdominal and Gluteal Contouring. This section includes four chapters. In the first three, Dr. Duncan Diane, Mullholand R. Stephen, Dr. Di Giussepe Alberto, and collaborators review some of the most recent technologies (helium-driven plasma radiofrequency, BodyTite, and Vaser Body Sculpting) that are being applied in body contouring surgery, as well as their indications, how these technologies work, and what results can be expected. Finally, in Chapter 4, MD Cuzalina Angelo and collaborators help us understand how to create an ideal buttock, discussing the use of implants, lifting, or fat grafting.

I dedicate this work to my family: mom, dad, sister and wife. They are the greatest pillars I have in my life, and the ones that have made me what I am now—a responsible, honest, thirsty-for-knowledge man, who never gives up on anything. Thank you for your support and for being a source of inspiration. I also want to thank my mentors and colleagues for pushing me very hard day by day to achieve my goals. Last but not least, I want to thank my patients, because without them none of this would have been possible. Thank you all very much.

> **Dr. Alexandro Aguilera**  Plastic and Reconstructive Surgeon, Chief of Hand and Peripheral Nerve, Department of Plastic and Reconstructive Surgery, National Institute of Pediatrics, Mexico City, Mexico

Section 1

Breast Reshaping

1

Section 1 Breast Reshaping

Chapter 1

Abstract

approaches.

1. Augmentation of breast

(Figures 5 and 6).

3

performed (Figures 7–9).

1.1 Augmentation of breasts with implants

(275 ml on both sides) (Figures 1–3) [1].

1.2 Augmentation of breasts with fat graft injection

Breast Recontouring

Yueh-Bih Tang, Shihheng Chen and Yo-Shen Chen

Keywords: breast, recontouring, reshaping, reconstruction

The breast is an important structure of the human body in terms of function and esthetics. Derangements in breast mount—breast form/volume/profile/silhouette and nipple-areolar complex—size/shape/nipple projection are all concerns for not only females but also males. Simply esthetic problems of breasts encompass hypoplasia, atrophy, displacement of nipple-areolar complex, widened areola, redundant nipple, breast ptosis, macromastia, etc. Congenital anomalies of breast—Poland syndrome, pectus excavatum, pectus carinatum, etc.—all need to be taken care for restructuring of the body contour. Nowadays, breast cancer of different stages may need different reconstruction modality. Postmastectomy breast reconstruction is another big issue for plastic surgeons. This chapter on breast recontouring will address on every specific kind of breast contour disorders and imperfection, along with individualized strategies of refining, restoring, and reconstruction

1.A 34-year-old lady with breast hypoplasia received augmentation of breasts

2.A 38-year-old lady with atrophy of breasts after breast feeding received augmentation of breasts with 300 ml gel implant on each side (Figure 4).

3.A 26-year-old lady with hypoplasia of breasts; right side is a little smaller. Dark areola is also complained. After breast augmentation with gel implants, 200 ml in each side, areolar hyperpigmentation was greatly alleviated

1.A 25-year-old unmarried lady wished to have a more prominent breast profile; aspiration of abdominal fat for lipofilling of breasts 150 ml for each side was
