Book Review: Aesthetic Breast Surgery: Concepts & Techniques

This text is a single author’s publication based upon her recollection and analysis of her 27 years of solo private practice as a wellrecognized and successful breast surgeon. The book is divided into two parts, Part I: Concepts and Principles, and Part II: Technique. Part I includes 4 chapters with the following titles: 1. Breast Analysis and Clinical Concepts, 2. Applied Anatomy: Key Concepts for Modern Breast Surgery, 3. Surgical Principles, 4. Patient Selection, Education, and Surgical Decision-Making. The remaining chapters comprise Part II: Breast Augmentation, Vertical Breast Reduction, Liposuction-only Breast Reduction, Breast Re-reduction, Mastopexy, Mastopexy-Augmentation, Nipple Necrosis, and finally a chapter on Breast Asymmetry. As opposed to the wide coverage of different techniques offered in most multi-author publications, unique to the structure of this text is coverage of only the relevant techniques that the author has come to use most frequently in personal practice, making a thorough description and upfront analysis of the results possible. Many photographic examples of even the suboptimal results have been employed without hesitation to facilitate the readers’ understanding. Important points that are not to be missed are recapitulated and highlighted in between bold lines. The author starts by describing various new concepts such as the breast footprint, zone of adherence, and breast borders, which aid in the preoperative analysis of the patient and in assessing what can and cannot be altered with surgery. I have come to agree on the author’s unique way of determining the new nipple position, based upon the distance from the upper breast border, which is both appealing and logical, whereas the most commonly described method that relies on the inframammary fold may, in fact, be misleading in many cases. The pertinent anatomy of the breast is well described in terms of our interest in its surgical relevance. Understanding the superficial and deep supply of the breast remains a sound foundation BOOK REVIEW