title: The High Five Process: tissue-based planning for breast augmentation.
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.
authors.affiliation: University of Texas Southwestern Medical Center in Dallas, Texas, USA. BA@dr-adams.com
authors.forename: William P
authors.initials: WP
authors.lastname: Adams
mesh_terms: D000328:Adult; D000886:Anthropometry / Q000379:methods; D001828:Body Image; D049628:Body Size; D019928:Breast Implantation / Q000193:education / Q000295:instrumentation / Q000523:psychology; D018427:Breast Implants / Q000145:classification / Q000600:supply & distribution; D002755:Choice Behavior; D003658:Decision Making, Computer-Assisted; D005260:Female; D006801:Humans; D010347:Patient Care Planning / Q000458:organization & administration; D010353:Patient Education as Topic; D010358:Patient Participation / Q000379:methods / Q000523:psychology; D018579:Patient Selection; D011300:Preoperative Care / Q000379:methods / Q000523:psychology; D012086:Reoperation; D025321:Surgery, Computer-Assisted