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The High Five Process: tissue-based planning for breast augmentation.

William P Adams1

  • 1University of Texas Southwestern Medical Center in Dallas, Texas, USA. BA@dr-adams.com

Plastic Surgical Nursing : Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses
|January 1, 2008
PubMed
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Breast augmentation surgery has a high re-operation rate. A scientific approach using tissue-based pre-operative planning, like the High Five process, significantly reduces re-operations.

Area of Science:

  • Plastic Surgery
  • Surgical Innovation

Background:

  • Breast augmentation remains popular but has seen limited innovation in two decades.
  • High re-operation rates (15-20%) plague FDA pre-market approval studies for breast implants.

Observation:

  • A scientific, process-oriented approach to breast augmentation is emerging.
  • Tissue-based pre-operative planning is a key element of this new approach.

Findings:

  • Published studies demonstrate that tissue-based pre-operative planning reduces the re-operation rate to under 3%.
  • The High Five process, established in 2005, outlines critical pre-operative decisions for breast augmentation.

Implications:

  • Implementing evidence-based planning systems can enhance patient outcomes in breast augmentation.

Related Experiment Videos

  • This approach signifies a shift towards more predictable and effective surgical procedures.