Breast Reduction, Mastopexy & Asymmetry

Chapter 7 of Volume 4, Breast, Trunk, Lower Limb & Aesthetics. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

25 viva questions in this chapter

1. Describe this photograph.
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2. Describe the anatomy of the breast.
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3. Describe the embryology, and the stages of breast development.
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4. How do you classify breast ptosis?
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5. She wants a left reduction. How do you proceed?
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6. How do you think about breast reduction as an operation?
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7. Which skin pattern, and why?
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8. Which pedicle?
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9. When would you plan a free nipple graft?
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10. How do you mark her for a Wise pattern reduction?
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11. The inframammary folds are significantly asymmetrical. How do you set the nipple?
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12. Take me through the operation, and tell me what is evidence-based about it.
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13. The nipple is dusky at the end of the case. What do you do?
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14. What complication rates would you quote?
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15. Can she breastfeed afterwards?
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16. Does breast reduction affect breast cancer risk? What do you do with the specimen?
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17. She comes back saying her breasts are still too big. It was done abroad and there is no operation note.
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18. Why is augmentation-mastopexy considered difficult?
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19. What are the surgical principles?
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20. What is a waterfall deformity, and how does it differ from a double bubble?
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21. Take me through your mastopexy markings.
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22. A young woman with marked developmental asymmetry. How do you approach her?
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23. Tell me about Poland syndrome.
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24. How do you classify and treat a tuberous breast?
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25. Asymmetry after breast reconstruction — what are the options?
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