Skip to main content
SpringerLink
Log in

Clinical Evaluation and Surgical Planning for Aesthetic Breast Surgery

  • Chapter
  • First Online:
Breast Surgery

Abstract

The breasts start significant development during puberty because of hormonal metabolic alterations. The size and shape of the breasts may change in a very short period of time, which affects the body contours. Usually, when a patient decides to undergo mastoplasty, she may present breast asymmetry, hypertrophy, hypoplasia, deformities secondary to obesity or massive weight loss or other imperfections. Although she has already made the decision, the plastic surgeon must perform an accurate physical examination to identify all the correlated problems. Afterward, surgical planning is a necessary step with the patient in a standing position to evaluate the breasts and other abnormalities. Once the operation is scheduled, I prefer to carry out pre-marking 1 day before surgery and surgical marking is performed with the patient in the operating room.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  • Aufricht G (1949) Mammaplasty for pendulous breasts. Empiric and geometry planning. Plast Reconstr Surg 4(1):13–29

    Article  CAS  Google Scholar 

  • Avelar JM (1986) Perfil psicológico do paciente—Introdução ao estudo (Psychological profile of the patient—introducing to the subject). In: Avelar JM, Illouz YG (eds) Lipoaspiração (Liposuction). Editora Hipócrates, São Paulo, pp 8–18. Chapter 2

    Google Scholar 

  • Avelar JM (1988) Abdominoplastia—reflexões e perspectiva biopsicológicas (Abdominoplasty—reflections and bio-psychological perspectives). Rev Soc Bras Cir Plast 3(2):152–154

    Google Scholar 

  • Avelar JM (1989) Assimetria mamária (Breast asymmetry). In: Avelar JM (ed) Cirurgia Plástica na Infância (Plastic surgery in infancy). Editora Hipocrates, São Paulo, pp 413–418. Chapter 2

    Google Scholar 

  • Avelar JM (1990) Princípios fundamentales en las mastoplastias (Fundamental principles in mastoplasty). In: Avelar JM, Malbec EF (eds) Historia, Ciência y Arte en Cirugía Estética. Ed. Hipócrates, São Paulo, pp 530–549

    Google Scholar 

  • Avelar JM (1993) Mastoplastia redutora sob anestesia local (Reduction mastoplasty under local anesthesia). In: Avelar JM (ed) Anestesia Loco-regional em cirurgia estética—(Loco-regional anesthesia on aesthetic surgery). Editora Hipócrates, São Paulo, pp 244–260

    Google Scholar 

  • Avelar JM (2013) Surgical principles and planning for ear reconstruction. In: Avelar JM (ed) Ear reconstruction. Springer, Heidelberg, pp 15–31. Chapter 3

    Chapter  Google Scholar 

  • Avelar JM (2016) Surgical principles and classification of abdominolipoplasty or lipoabdominoplasty. In: Avelar JM (ed) New concepts on abdominoplasty and further applications. Springer, Switzerland, pp 31–43. doi:10.1007/978-3-319-27851-3_3. Chapter 3

    Chapter  Google Scholar 

  • Avelar JM, Anger A (1989) Aspectos psicológicos do paciente infantil em cirurgia (Psychological aspects of child patient in surgery). In: Avelar JM (ed) Cirurgia Plástica na Infância. Hipócrates, São Paulo, pp 3–6. Chapter 1

    Google Scholar 

  • Fernandez J (1951) Mastoplastias, nuestra experiência editorial universitária. Buenos Aires

    Google Scholar 

  • Gillies H, McIndoe AH (1939) The technique of mammaplasty in conditions of hypertrophy of the breast. Surg Gynecol Obstet 68:658

    Google Scholar 

  • Pitanguy I (1960) Breast hypertrophy. In: Wallace AB (ed) Transactions of the International Society of Plastic Surgeons, Second Congress, Edinburgh. E & S, Livingstone, p 509

    Google Scholar 

  • Pitanguy I (1961) Aproximação eclética ao problema das mamaplastias (an eclectic approach to breast problems). Rev Bras Cir 41:179–196

    CAS  PubMed  Google Scholar 

  • Pitanguy I (1981) The breast. In: Aesthetic plastic surgery of head and body. Springer, Berlin, pp 3–62. Chapter 1

    Chapter  Google Scholar 

  • Pitanguy I, Garcia LC (1972) Aspectos importantes da tecnica pessoal em mammaplastia (Important aspects of the personal technique of mammaplasty). Bol Soc Cir Plast Reconstr. Cordoba 4:7

    Google Scholar 

  • Ragnell KGA (1957) Further experience of preservation of lactation capacity and nipple sensitivity in breast reduction. Transactions of the International Society of Plastic Surgeons. Williams & Wilkins, Baltimore, p 379

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Brazilian Scientific Institute of Plastic and Reconstructive Surgery, Alameda Gabriel Monteiro da Silva, 620-Jardim Europa, Sao Paulo, SP, 01442-000, Brazil

    Juarez M. Avelar M.D.

Authors
  1. Juarez M. Avelar M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Juarez M. Avelar M.D. .

Editor information

Editors and Affiliations

  1. São Paulo, São Paulo, Brazil

    Juarez M. Avelar

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Cite this chapter

Avelar, J.M. (2018). Clinical Evaluation and Surgical Planning for Aesthetic Breast Surgery. In: Avelar, J. (eds) Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-54115-0_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-54115-0_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54114-3

  • Online ISBN: 978-3-319-54115-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation