aesthetic-breast-surgery-concepts-techniquesAuthor: Elizabeth J. Hall-Findlay. MD; Illustrator: Jennifer N. Gentry, MA
Publisher: Quality Medical Publishing – 706 pages, plus Index
Book Review by: Deekay Daulat

This book published in 2011 is based on the knowledge, insight, and experience gained over nearly 30 years by Dr. Elizabeth Hall-Findlay, a breast surgeon.

She expands on this by writing: “This book is a review of my thoughts and experience from a solo practice that has spanned 27 years. It is intended as a comprehensive (but personal) approach to aesthetic breast surgery, covering breast reduction, breast augmentation, mastopexy, mastopexy-augmentation, and breast asymmetry.” She also points out that influences from colleagues and students have made her a better surgeon.

This work has extensive coverage of various aspects of breast surgery, yet the outline of its contents in 14 chapters is simple, as we present to you below to serve as an overview

  1. Part I – Concepts and Principles
    1. Breast Analysis and Clinical Concepts
    2. Applied Anatomy: Key Concepts for Modern Breast Surgery
    3. Surgical Principles
    4. Patient Selection, Education, and Surgical Decision Making
  2. Part II – Technique
    1. Breast Augmentation
    2. Vertical Breast Reduction
    3. Liposuction-Only Breast Reduction
    4. Breast Re-reduction
    5. Mastopexy
    6. Mastopexy-Augmentation
    7. Nipple Necrosis
    8. Breast Asymmetry

For your benefit and ease of use two compact disks are provided in sealed packets on the inside back cover of this book.

The first four chapters in Part I – Concepts and Principles – follow this basic outline form presented below:

Introductory Paragraph(s)
Topics and Subtopics – Discussions and Illustrations
Concepts to Recall: Bullet-point list

The next 10 chapters, in Part II – Technique – follow the same basic outline as in Part I, but most chapters have these additional items in the outline:

Surgical Principles and Clinical Outcomes
Indications and Contraindications
Preoperative Assessment
Analysis of the Problem
Planning (the Surgery)
Operative Technique
Problems and Complications
Postoperative Care

Many topics pertaining to breasts and breast surgery are discussed in this book, including: anesthesia, antibiotics, arterial blood supply, breast feeding, congenital abnormalities, dancing breast syndrome, deformities, flaps, folds, implants, incisions, infections, inflammations, lateral breast border, liposuction, mammograms, and mammaplasty.

Also: nipple grafts, nipple necrosis, pedicles, quadrants, Ribeiro flap, scarring, silicone implants, skin resection, tension bands,, trans-axillary incision, tuberous breast deformity, Turner’s syndrome, upper breast border, venous blood flow, vertical breast footprint, Waterfall effect, Wedge resection principle, Wuringer’s septum, young patients, and zones of adherence.

This book is an excellent manual for aesthetic breast surgeons because it :

  • Amply illustrates: aberrations, abnormalities, anomalies, and asymmetries with clear, full-color photos and sketches
  • Contains captions that clearly describe the problems on breasts and how to correct them. The photos show that one or both of the breasts are: drooping, misshaped, too flat or too outward, too large or too small, too close or too far apart, too high or too low, too narrow or too wide, or have other problems. In some cases the location and shape of the anomalies are with areolas or the nipples
  • Provides step-by-step procedures for desirable, well-planned, successful outcomes

Very importantly, this book contains the valuable personal insights of the author Dr. Hall-Findlay, who shares what she has learned during her decades of work. about the right course of action to take to avoid and prevent complications that occur in the course of breast surgery.


Elizabeth J. Hall-Findlay. MD, FRSC is in private practice in Banff, Alberta, Canada


Jennifer N. Gentry, MA, CMI


Source of art works in book: Canada House Gallery of Banff, Alberta, established in 1974.