| Popis: |
Which came first, reconstructive or aesthetic plastic surgery? The first recorded reconstruction was in 600 BC in India. It was a nose reconstruction with a forehead flap in a patient whose nose was amputated as a punishment for the crime of adultery. The first aesthetic nose surgery in America was recorded by John Orlando Roe as late as 1887. Tanzini described the use of a latissimus dorsi flap for chest wall reconstruction in 1906, while the first facelift surgery was described in 1926 by Madame Suzanne Noel in Paris. Reconstructive and aesthetic plastic surgery have developed exponentially and in parallel during the past century. The philosophy, techniques, and principles of tissue handling, grafting, replacement, and re-arrangement are one and the same in both aesthetic and reconstructive arenas of plastic surgery. Aesthetic breast surgery can benefit from reconstructive methods and vice versa. Lessons learned from challenges posed by breast reconstruction are applicable to a variety of aesthetic challenges, and both primary and revision aesthetic breast procedures sometimes require utilization of reconstructive techniques. Complex complications of aesthetic procedures, such as breast asymmetries, symmastia, wide intermammary distance, bottoming out, double-bubble deformities, and others, often necessitate the use of variety of reconstructive methods, including composite breast augmentation, breast enhancement with fat alone, tissue reinforcement with acellular dermal matrices and synthetic meshes, local flaps, and tissue re-arrangement. This chapter delineates the reconstructive options for these cosmetic revisions and provides illustrative case-based presentations. |
