Sidney Kahn

Mondor's disease. An unusual complication of mammaplasty.

We present 6 cases of Mondors disease which developed after plastic surgical operations on the breasts. All signs of the disease disappeared spontaneously after 3 or 4 months.

Revisional surgery after reduction mammaplasty.

The occasional unsatisfactory results after reduction mammaplasty are classified and analyzed. Methods of revision in 4 illustrative cases are presented and discussed.

Alternatives to subcutaneous mastectomy.

It is our belief that subcutaneous mastectomy often leads to complications, with poor results. In addition, because a considerable amount of breast tissue may be left behind, its value as a prophylactic operation must be questioned. Two alternatives are presented. In our experience, these lead to fewer complications with a more thorough removal of the mammary gland, and achieve a better appearance. The alternatives are (1) simple mastectomy with secondary reconstruction; (2) the type of mastectomy described by Spira--with primary reconstruction using a subpectoral silicone prosthesis covered by muscle and an inferiorly-based dermal flap.

Correction of senile (atonic) blepharoptosis during cosmetic blepharoplasty.

Pseudoptosis, caused by skin laxity or by herniation of periorbital fat, can be remedied by the usual cosmetic blepharoplasty. If there is a concomitant mild senile ptosis due to levator weakness, however, we recommend levator muscle plication during the course of the blepharoplasty. While blepharoptosis of significant degree is best treated by resection of the levator, plication works well in a mild degree of senile (or atonic) ptosis (when there is no more than two to 4 mm of droop). It is a simple and effective maneuver, easily performed in association with a cosmetic blepharoplasty.