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Breast Reconstruction

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Plastic and Reconstructive Breast Surgery

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Abstract

The first postmastectomy breast reconstructions with silicone prostheses were described by Lewis (1971) and Snyderman (1971), who used the gel implants commercially available since 1962 and simply inserted them beneath the skin. This technique resulted in hemispherical, unnatural “brassiere” breasts which, while giving the patient security, were not aesthetically appealing. A very important feature of the female breast, besides its volume and nipple-areola complex, is the inframammary crease, which provides for a natural ptosis. In 1973, when the first women with transverse mastectomy scars asked about reconstruction, we began to fix the inframammary crease separately to the chest wall with interrupted sutures. All the skin of the ipsilateral upper abdomen must be undermined from the operative scar in order to mobilize sufficient skin (about a hand’s width) to cover the implant (Höhler and Lemperle 1975; Spitalny and Lemperle 1978).

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Authors and Affiliations

  1. Klinik für Plastische- und Wiederherstellungschirurgie, St. Markus Krankenhaus, Wilhelm-Epstein-Str. 2, D-6000, Frankfurt/Main50, Germany

    Professor Dr. med. Gottfried Lemperle

  2. Service de chirurgie plastique et reconstructive, Centre des Brûlés, Centre Hospitalier Universitaire Vaudois, CH-1011, Lausanne, Switzerland

    Dr. med. Jürg Nievergelt

Authors
  1. Professor Dr. med. Gottfried Lemperle
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  2. Dr. med. Jürg Nievergelt
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© 1991 Springer-Verlag Berlin Heidelberg

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Lemperle, G., Nievergelt, J. (1991). Breast Reconstruction. In: Plastic and Reconstructive Breast Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-01573-5_5

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  • DOI: https://doi.org/10.1007/978-3-662-01573-5_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-01575-9

  • Online ISBN: 978-3-662-01573-5

  • eBook Packages: Springer Book Archive

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