What is it about?
Anatomy of the Superficial Fascia System of the Breast: A Comprehensive Theory of Breast Anatomy_x000D_ The body is held together and shaped by special connective tissue called fascia. It can separate and hold together deep body structures, like muscle, and be called "deep fascia"; it can hold together and shape tissue between the deep muscle compartment and skin, and be called "superficial fascia." Superficial fascia connects to the skin everywhere in the body and the fat that is intricately associated with it, like honey in a honey comb, is responsible for the body's shape. In certain areas this Superficial Fascia System also connects to the deep fascial system to form zones of adhesion. The breast is shaped and surrounded by just such a zone of adhesion that we describe in our paper called the Circum-mammary Ligament. Knowledge of the Superficial Fascia System of the breast is important to all kinds of breast surgery - both reconstructive and cosmetic.
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Why is it important?
It is impossible to design cosmetic or reconstruction surgeries, after breast cancer operations, without a thorough understanding of what shapes the breast- the superficial fascia. Once a surgeon sees the big picture of breast anatomy, operations can be planned that result in better outcomes for patients.
Perspectives
This understanding of breast anatomy, as shown from videos shot in my OR, has totally changed the way I perform cosmetic and reconstructive breast surgeries.
Robert Rehnke
Robert D. Rehnke, M.D.
It has been my great privilege to work with Dr. Robert Rehnke on a large number of breast reconstructions for cancer. His surgical skill and extraordinarily detailed understanding of breast anatomy have enabled us to offer an approach to breast reconstruction which is, in my experience, unique. I am grateful that he has published this seminal work as a basis for future innovation in surgery of the breast.
John Clarke
Read the Original
This page is a summary of: Anatomy of the Superficial Fascia System of the Breast, Plastic & Reconstructive Surgery, November 2018, Wolters Kluwer Health,
DOI: 10.1097/prs.0000000000004948.
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