Intro
Foreword
Preface
Acknowledgments
Contents
About the Editors
List of Videos
1: Evolution of Pre-Pectoral Breast Reconstruction
1.1 Introduction
1.2 Breast Implants
1.3 Acellular Dermal Matrix (ADM)
1.4 Mesh (ADMs) with Implants
1.5 Direct-to-Implant Pre-Pectoral Breast Reconstruction
1.6 Fat Grafting
1.7 Evolution of Pre-Pectoral Breast Reconstruction Timeline
1.8 Radiation
1.9 Benefits of Pre-Pectoral Breast Reconstruction
1.10 Complications Specific to Pre-Pectoral Breast Reconstruction
1.11 Conclusion
References

2: Anatomy of the Breast
2.1 Introduction
2.2 The Superficial Fascia System of the Breast
2.2.1 The Basic Body Segment
2.2.2 The Corpus Lamina
2.2.3 Anterior and Posterior Lamina
2.2.4 Circum-mammary Ligament
2.2.5 Circulation of the Breast
2.2.6 Lymphatic System of the Breast
2.2.7 Innervation of the Breast
2.3 Summary
References
3: Understanding Breast Cancer Oncology: The Need for Mastectomy and Axillary Staging
3.1 Introduction
3.2 Surgical Treatment of Breast Cancer: Historical Perspective
3.3 Indications for Mastectomy

3.4 Types of Mastectomies
3.5 Post-mastectomy Radiation Therapy
3.6 Management of the Axilla in Early-stage Breast Cancer
3.7 Downstaging the Axilla
3.8 Summary with Tips
References
4: Oncological Safety and Technical Advances in Skin and Nipple-Sparing Mastectomy
4.1 Introduction
4.2 History of Conservative Mastectomy
4.3 Surgical Technique
4.4 Complications
4.5 Oncological Safety: Review to Date
4.6 Cosmesis and Psychological Benefit
4.7 Conclusion
4.8 Summary with Tips
References

5: Prepectoral Breast Reconstruction: Selection Criteria and Patient Considerations
5.1 Introduction
5.2 Preoperative Selection Considerations
5.2.1 Patient Criteria
5.2.2 Tumor-Specific Considerations
5.3 Intraoperative Considerations
5.3.1 Intraoperative Assessment of Mastectomy Flaps
5.3.2 Cosmetic Considerations
5.4 Postoperative Considerations
5.4.1 Infection
5.5 Conclusion
References
6: Skin and Nipple-Sparing Mastectomy with Axillary Staging in Prepectoral Breast Reconstruction
6.1 Introduction

6.2 Skin and Nipple-sparing Mastectomy with Pre-Pectoral Breast Reconstruction: Surgical Planning
6.3 Pre-Operative Marking
6.4 Intraoperative Set-up
6.4.1 Skin-Sparing Mastectomy: Incision Placement
6.4.2 Nipple-Sparing Mastectomy: Incision Placement
6.4.3 Raising the Skin Flaps and Removing the Breast
6.4.4 Infection Prevention in Skin and Nipple-Sparing Mastectomy and Pre-Pectoral Breast Reconstruction
6.4.5 Axillary Staging in the Setting of Skin and Nipple-Sparing Mastectomy and PPBR
6.4.6 Sentinel Lymph Node Biopsy