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Breast Augmentation

Adams, William P. Jr. M.D.; Mallucci, Patrick M.D.

Plastic and Reconstructive Surgery: October 2012 - Volume 130 - Issue 4 - p 597e–611e
doi: 10.1097/PRS.0b013e318262f607
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Learning Objectives: After reading this article, the participant should be able to: 1. Cite the key concepts in the process of breast augmentation that optimize outcomes; 2. Cite key components of tissue-based planning for implant selection; 3. Discuss complications and risks of breast augmentation.

Summary: Breast augmentation remains one of the top surgical procedures performed by plastic surgeons. Current literature supports the concept that breast augmentation outcomes are optimized using a concept of the process of breast augmentation. Breast augmentation is often thought of as a surgical procedure; however, the nonsurgical aspects of the procedure are more important for optimizing outcomes and minimizing reoperation and complications. The process of breast augmentation includes patient education, tissue-based preoperative planning, refined surgical technique, and defined postoperative management. This CME article reviews and discusses the current relevant topics and issues surrounding breast implants. There are also supporting videos to enhance the reader’s experience. CME questions are present at the end for a self-assessment.

Dallas, Texas; and London, United Kingdom

From the University of Texas Southwestern Medical Center and private practice, and the Royal Free and University College Hospitals.

Received for publication November 23, 2011; accepted April 30, 2012.

Disclosure:Dr. Adams is an investigator for Allergan and Mentor, a member of the Education Advisory Council for Allergan, a royalty recipient for Atlas McGraw-Hill, and chief medical officer of the Plastic Surgery Channel. Dr. Mallucci lectures and teaches on behalf of Allergan, but has no financial or contractual relationship with them.

William P. Adams, Jr., M.D., 6901 Snider Plaza, Suite 120, University Park, Texas 75205,

©2012American Society of Plastic Surgeons