A Decalogue on Enhanced Recovery After Breast Augmentation Surgery (ERABAS)

Area of Science:

• Plastic Surgery
• Surgical Recovery Protocols

Background:

• Medical advancements facilitate faster postoperative recovery.
• Predictable 24-hour recovery post-breast augmentation remains a topic of discussion.

Purpose of the Study:

• To introduce a novel, straightforward, and reproducible protocol for Enhanced Recovery After Breast Augmentation Surgery (ERABAS).
• To summarize the key components of the ERABAS protocol.

Main Methods:

• Retrospective analysis of 2906 primary breast augmentation surgeries (2010-2020).
• Standardized surgical protocol and implant type used for all patients.
• Logistic regression models analyzed recovery time and pain based on age, smoking, implant size, and location.

Main Results:

• 95% of patients (2770/2906) returned to normal activities within 24 hours.
• Implant location significantly impacted recovery time (p < 0.05), with dual-plane pockets associated with longer recovery.
• Hemorrhage and hematoma were the primary complications in the seven patients requiring a week to recover.

Conclusions:

• The ERABAS protocol facilitates a swift return to daily activities with minimal complications.
• Further multicenter prospective studies are recommended to validate these findings.