Key Insights From a Decade of Breast Augmentation: Our 5 Critical Decisions in Breast Implant Selection
Breast augmentation continues to rank among the most commonly performed procedures. A crucial factor in achieving successful outcomes lies in a methodical implant-selection system, a principle underscored by Tebbetts and Adams in their TEPID and High Five systems. We have revisited several factors d...
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| Veröffentlicht in: | Plastic and reconstructive surgery. Global open Jg. 13; H. 4; S. e6695 |
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| Hauptverfasser: | , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
Lippincott Williams & Wilkins
01.04.2025
Wolters Kluwer |
| Schlagworte: | |
| ISSN: | 2169-7574, 2169-7574 |
| Online-Zugang: | Volltext |
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| Zusammenfassung: | Breast augmentation continues to rank among the most commonly performed procedures. A crucial factor in achieving successful outcomes lies in a methodical implant-selection system, a principle underscored by Tebbetts and Adams in their TEPID and High Five systems. We have revisited several factors during years of experience.
Thorough preoperative consultations play a pivotal role, involving discussions on the patient's motivation for breast augmentation and their medical history. Subsequently, medical photographs are taken, and 5 critical breast measurements are recorded: sternal notch-nipple distance, base width of the breast, soft-tissue coverage of the implant, optimal implant selection based on volume and dimensions, and calculation of the neo-inframammary fold using the Pythagorean theorem. Our system goes beyond traditional approaches by offering patients the chance to preview the postoperative result through both bra sizers and 3-dimensional simulation. Shared decision-making is another integral aspect of our methodology, providing patients with a voice in the medical decision-making process.
During the period from 2009 to 2019, the senior author conducted primary breast augmentations on 716 patients, with follow-ups extending up to 3 years. Notably, 1.5% (11 patients) required reoperation, and only 0.03% (2 patients) underwent reoperation specifically for implant size exchange.
Our system's strength lies in its reliance on straightforward tissue-based measurements and a commitment to incorporating patient preferences through interactive decision-making. We aim to contribute to the professional development of fellow plastic surgeons and residents by sharing our 5 critical decisions, confident in their potential value for enhancing their practice. |
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| Bibliographie: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 2169-7574 2169-7574 |
| DOI: | 10.1097/GOX.0000000000006695 |