ABC preoperative triage system in breast augmentation.

Area of Science:

• Plastic Surgery
• Psychology in Medicine
• Patient Selection Criteria

Background:

• Successful elective aesthetic surgery outcomes depend on clear patient selection criteria.
• Establishing a strong patient-doctor relationship, emphasizing empathy, is crucial before proceeding with surgery.
• A novel, practical psychological triage system, the 5 Preoperative Key Points, is introduced.

Purpose of the Study:

• To evaluate the usefulness of the 5 Preoperative Key Points psychological triage system.
• To assess the system's effectiveness in patient selection for primary breast enlargement surgery.

Main Methods:

• The study included 655 consultations for primary breast enlargement performed by a single surgeon.
• A graphic tool was employed to classify patients based on personal adaptation.
• Patient data were analyzed to determine the system's efficacy.

Main Results:

• Patients were categorized into three groups: A (32%), B (55%), and C (13%).
• 98.6% of consultations proceeded to a second consultation and surgical procedure.
• Only 1.3% of total consultations (10.5% of Group C patients) were advised against surgery.

Conclusions:

• The 5 Preoperative Key Points system is simple, practical, and applicable in daily surgical practice.
• Implementing this psychological triage benefits both surgeons and patients.
• The system aids in refining patient selection for aesthetic procedures.