Breast Reduction, Amputation: Multimedia
Author: Curtis S F Wong, MD, Clinical Instructor, Department of Family Practice, Division of Surgery, Mercy Medical Center
Contributor Information and Disclosures
Updated: Oct 15, 2009
Multimedia
 | Media file 1:
Preoperative status of breasts with lateral
nipple displacement. Image used with permission from McKissock,
Paul K. Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78. |
Preoperative status of breasts with lateral
nipple displacement. Image used with permission from McKissock,
Paul K. Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78.
 | Media file 2:
Preoperative status of breasts, oblique view.
Image used with permission from McKissock, Paul K. Color Atlas
of Mammaplasty. Thieme Publishers. 1991:47-78. |
Preoperative status of breasts, oblique view.
Image used with permission from McKissock, Paul K. Color Atlas
of Mammaplasty. Thieme Publishers. 1991:47-78.
 | Media file 3:
Marking breast meridians - medial to laterally
displaced nipples. Image used with permission from McKissock,
Paul K. Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78. |
Marking breast meridians - medial to laterally
displaced nipples. Image used with permission from McKissock,
Paul K. Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78.
 | Media file 4:
Obstetric caliper used to measure distance from
clavicle to inframammary fold. Image used with permission from
McKissock, Paul K. Color Atlas of Mammaplasty. Thieme
Publishers. 1991:47-78. |
Obstetric caliper used to measure distance from
clavicle to inframammary fold. Image used with permission from
McKissock, Paul K. Color Atlas of Mammaplasty. Thieme
Publishers. 1991:47-78.
 | Media file 5:
Transposing caliper-measured distance to front
of breast along meridian. Image used with permission from
McKissock, Paul K. Color Atlas of Mammaplasty. Thieme
Publishers. 1991:47-78. |
Transposing caliper-measured distance to front
of breast along meridian. Image used with permission from
McKissock, Paul K. Color Atlas of Mammaplasty. Thieme
Publishers. 1991:47-78.
 | Media file 6:
Positioning nipple 1-2 cm below caliper-measured
distance to compensate for recoil uplift after amputation of
tissues. Image used with permission from McKissock, Paul K.
Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78. |
Positioning nipple 1-2 cm below caliper-measured
distance to compensate for recoil uplift after amputation of
tissues. Image used with permission from McKissock, Paul K.
Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78.
 | Media file 7:
Opened keyhole pattern centered around new
nipple position. Image used with permission from McKissock,
Paul K. Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78. |
Opened keyhole pattern centered around new
nipple position. Image used with permission from McKissock,
Paul K. Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78.
 | Media file 8:
Intermammary webbing in extremely large breasts.
Image used with permission from McKissock, Paul K. Color Atlas
of Mammaplasty. Thieme Publishers. 1991:47-78. |
Intermammary webbing in extremely large breasts.
Image used with permission from McKissock, Paul K. Color Atlas
of Mammaplasty. Thieme Publishers. 1991:47-78.
 | Media file 9:
Patterns marked. Image used with permission from
McKissock, Paul K. Color Atlas of Mammaplasty. Thieme
Publishers. 1991:47-78. |
Patterns marked. Image used with permission from
McKissock, Paul K. Color Atlas of Mammaplasty. Thieme
Publishers. 1991:47-78.
 | Media file 10:
Pattern marking completed with lateral/medial
extensions. Image used with permission from McKissock, Paul K.
Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78. |
Pattern marking completed with lateral/medial
extensions. Image used with permission from McKissock, Paul K.
Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78.
 | Media file 11:
Appearance of patterns when supine. Image used
with permission from McKissock, Paul K. Color Atlas of
Mammaplasty. Thieme Publishers. 1991:47-78. |
Appearance of patterns when supine. Image used
with permission from McKissock, Paul K. Color Atlas of
Mammaplasty. Thieme Publishers. 1991:47-78.
 | Media file 12:
Inferior pyramid of tissue to be
de-epithelialized for improving nipple projection. Image
courtesy of Curtis Wong, MD. |
Inferior pyramid of tissue to be
de-epithelialized for improving nipple projection. Image
courtesy of Curtis Wong, MD.
 | Media file 13:
Removal of nipple and deepithelialization of
graft site (ie, new nipple site). Image used with permission
from McKissock, Paul K. Color Atlas of Mammaplasty. Thieme
Publishers. 1991:47-78. |
Removal of nipple and deepithelialization of
graft site (ie, new nipple site). Image used with permission
from McKissock, Paul K. Color Atlas of Mammaplasty. Thieme
Publishers. 1991:47-78.
 | Media file 14:
Through the inframammary incision, the breast
tissue is dissected off the pectoralis muscle up to the medical
and lateral extensions of planned upper incisions. Image used
with permission from McKissock, Paul K. Color Atlas of
Mammaplasty. Thieme Publishers. 1991:47-78. |
Through the inframammary incision, the breast
tissue is dissected off the pectoralis muscle up to the medical
and lateral extensions of planned upper incisions. Image used
with permission from McKissock, Paul K. Color Atlas of
Mammaplasty. Thieme Publishers. 1991:47-78.
 | Media file 15:
Resection by "staircasing" the breast tissue or
beveling away from the skin edges preserves breast tissue that
may help with improving nipple projections. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Resection by "staircasing" the breast tissue or
beveling away from the skin edges preserves breast tissue that
may help with improving nipple projections. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 16:
Direct closure results in dog ears in the graft
bed and at the ends of the incisions; circular excisions of dog
ears with purse-string closure dramatically reduces or
eliminates dog ear. Image used with permission from McKissock,
Paul K. Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78. |
Direct closure results in dog ears in the graft
bed and at the ends of the incisions; circular excisions of dog
ears with purse-string closure dramatically reduces or
eliminates dog ear. Image used with permission from McKissock,
Paul K. Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78.
 | Media file 17:
Plication of graft bed with fine chromic sutures
to flatten graft site prior to grafting. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Plication of graft bed with fine chromic sutures
to flatten graft site prior to grafting. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 18:
Appearance after bolster secured with method of
surgeons choice. Leave it on for 10-14 days to maximize take of
nipple. Image used with permission from McKissock, Paul K.
Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78. |
Appearance after bolster secured with method of
surgeons choice. Leave it on for 10-14 days to maximize take of
nipple. Image used with permission from McKissock, Paul K.
Color Atlas of Mammaplasty. Thieme Publishers.
1991:47-78.
 | Media file 19:
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 20:
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 21:
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 22:
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 23:
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 24:
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 25:
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 26:
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78. |
Images 19-26: Sequence of photos to display
management of medial webbing in extremely large breasts if
incisions need to be carried across midline. Image used with
permission from McKissock, Paul K. Color Atlas of Mammaplasty.
Thieme Publishers. 1991:47-78.
 | Media file 27:
Preoperative photograph of the breasts of
patient A. Image courtesy of Curtis Wong, MD. |
Preoperative photograph of the breasts of
patient A. Image courtesy of Curtis Wong, MD.
 | Media file 28:
Postoperative photograph of the breasts of
patient A. Image courtesy of Curtis Wong, MD. |
Postoperative photograph of the breasts of
patient A. Image courtesy of Curtis Wong, MD.
 | Media file 29:
Preoperative photograph of the breasts of
patient B. Image courtesy of Curtis Wong, MD. |
Preoperative photograph of the breasts of
patient B. Image courtesy of Curtis Wong, MD.
 | Media file 30:
Postoperative photograph of the breasts of
patient B. Image courtesy of Curtis Wong, MD. |
Postoperative photograph of the breasts of
patient B. Image courtesy of Curtis Wong, MD.
Contributor Information and Disclosures
Author
Curtis S F Wong, MD, Clinical Instructor, Department of Family Practice, Division of Surgery, Mercy Medical Center
Curtis S F Wong, MD is a member of the following medical societies: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and California Medical Association
Disclosure: Nothing to disclose.
Medical Editor
Pankaj Tiwari, MD, Assistant Professor, Division of Plastic Surgery, Ohio State University
Disclosure: Nothing to disclose.
Pharmacy Editor
Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment
CME Editor
Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.
Chief Editor
James Neal Long, MD, Assistant Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, University of Alabama at Birmingham and Kirklin Clinics
James Neal Long, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Medical Association, American Society of Plastic Surgeons, Plastic Surgery Research Council, Sigma Xi, Southeastern Society of Plastic and Reconstructive Surgeons, and Southeastern Surgical Congress
Disclosure: Nothing to disclose.
Multimedia: Breast Reduction, Amputation