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

Full Abstract

Despite popularity, breast augmentation has not advanced significantly in 20 years. The re-operation data for breast augmentation has been excessive at 15% to 20% in every Federal Drug Administration pre-market approval study for the past 15 years. Recently, a more scientific approach to breast augmentation has described a true process approach to this procedure. One element, tissue-based pre-operative planning, has been shown to reduce re-operation rate to less than 3% in published peer-reviewed studies. The High Five process was published in 2005 and codifies the 5 most important pre-operative decisions made during a breast augmentation procedure. Application into clinical practice of this planning system is discussed.

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Author information

Author/s: Adams, William P (WP);

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

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses (Plast Surg Nurs), published in United States. (Language: eng)

Reference: -2007 Oct-Dec; vol 27 (issue 4) : pp 197-201

Dates: Created 2007/12/31; Completed 2008/03/21;

PMID: 18165727, status: MEDLINE (last retrieval date: 11/6/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Anthropometry - methods
Body Image
Body Size
Breast Implantation - education; instrumentation; psychology
Breast Implants - classification; supply & distribution
Choice Behavior
Decision Making, Computer-Assisted
Female

Female
Humans
Patient Care Planning - organization & administration
Patient Education as Topic
Patient Participation - methods; psychology
Patient Selection
Preoperative Care - methods; psychology
Reoperation
Surgery, Computer-Assisted

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