Achieving a Predictable 24-Hour Return to Normal Activities after Breast Augmentation: Part II. Patient Preparation, Refined Surgical Techniques, and Instrumentation

@article{Tebbetts2002AchievingAP,
  title={Achieving a Predictable 24-Hour Return to Normal Activities after Breast Augmentation: Part II. Patient Preparation, Refined Surgical Techniques, and Instrumentation},
  author={John B. Tebbetts},
  journal={Plastic and Reconstructive Surgery},
  year={2002},
  volume={118},
  pages={115S-127S}
}
  • J. Tebbetts
  • Published 1 December 2006
  • Medicine
  • Plastic and Reconstructive Surgery
The goal of this study was to develop practices that would allow patients undergoing subpectoral augmentation to predictably return to full normal activities within 24 hours after the operation, free of postoperative adjuncts. Part I of this study used motion and time study principles to reduce operative times, medication dosages, perioperative morbidity, and recovery times in augmentation mammaplasty. Part II of the study focuses on details of patient education, preoperative planning… Expand
Achieving a Predictable 24‐Hour Return to Normal Activities after Breast Augmentation: Part I. Refining Practices by Using Motion and Time Study Principles
  • J. Tebbetts
  • Medicine
  • Plastic and reconstructive surgery
  • 2002
TLDR
Applying motion and time study principles to analysis and refinement of surgeon and personnel actions and surgical techniques resulted in a substantial reduction in perioperative morbidity and a simpler, shorter 24‐hour return to normal activities without intercostal blocks, narcotic pain medications, drains, bandages, or other adjunctive devices in 96 percent of 627 augmentation patients. Expand
The Process of Breast Augmentation: Four Sequential Steps for Optimizing Outcomes for Patients
  • W. Adams
  • Medicine
  • Plastic and reconstructive surgery
  • 2008
TLDR
This is the first report that defines and integrates the entire process of breast augmentation comprehensively that is validated by outcomes data and, using this algorithm, patient outcomes in this study were superior to premarket approval clinical trial data. Expand
Axillary Endoscopic Breast Augmentation: Processes Derived from a 28-Year Experience to Optimize Outcomes
  • J. Tebbetts
  • Medicine
  • Plastic and reconstructive surgery
  • 2006
TLDR
A 28-year experience with axillary subpectoral and submammary breast augmentation is reported, and proved processes and surgical techniques that have evolved during that experience are defined. Expand
Enhancing Patient Outcomes in Aesthetic and Reconstructive Breast Surgery Using Triple Antibiotic Breast Irrigation: Six-Year Prospective Clinical Study
TLDR
Triple antibiotic breast irrigation is clinically associated with a low incidence of capsular contracture compared with other published reports, and its clinical efficacy supports previously published in vitro studies. Expand
Enhancing patient outcomes in aesthetic and reconstructive breast surgery using triple antibiotic breast irrigation: six-year prospective clinical study.
TLDR
Triple antibiotic breast irrigation is clinically associated with a low incidence of capsular contracture compared with other published reports, and its clinical efficacy supports previously published in vitro studies. Expand
Large area local anesthesia (LALA) in submuscular breast augmentation.
TLDR
A trend toward decreased nausea and vomiting and narcotic use, and a statistically significant decrease in time to discharge, for the cohort that received intraoperative bupivacaine irrigation is found. Expand
Reoperative Transaxillary Breast Surgery: Using the Axillary Incision to Treat Augmentation-related Complications
TLDR
Transaxillary breast augmentation reoperation is feasible if certain principles are followed and the misbelief that the transaxillary approach is not adequate for reoperations inhibits patients’ and surgeons’ decisions on what incision is best in each case. Expand
Asian Outcomes of Primary Breast Augmentation in 162 Consecutive Cases by a Single Surgeon
  • Cheol-Hwan Kim
  • Medicine
  • Plastic and reconstructive surgery. Global open
  • 2015
TLDR
The technique of the use of blunt dissection with fingers under tumescent infiltration and single antibiotics irrigation provides an alternative way to surgeons for breast augmentation and reoperation rates between Asian and Western patients are equal due to adequate preoperative evaluation and surgical procedure. Expand
Locally Administered Ketorolac and Bupivacaine for Control of Postoperative Pain in Breast Augmentation Patients: Part II. 10-Day Follow-Up
TLDR
Locally applied, intraoperative ketorolac and bupivacaine significantly reduced pain for 5 days after surgery in women who had undergone primary breast augmentation. Expand
The Tissue-Based Triad: A Process Approach to Augmentation Mastopexy
TLDR
Use of the tissue-based triad process approach provided objectivity in determining which patients should undergo one- versus two-stage augmentation mastopexy and is associated with lower reoperation rates. Expand
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References

SHOWING 1-10 OF 14 REFERENCES
Achieving a Predictable 24‐Hour Return to Normal Activities after Breast Augmentation: Part I. Refining Practices by Using Motion and Time Study Principles
  • J. Tebbetts
  • Medicine
  • Plastic and reconstructive surgery
  • 2002
TLDR
Applying motion and time study principles to analysis and refinement of surgeon and personnel actions and surgical techniques resulted in a substantial reduction in perioperative morbidity and a simpler, shorter 24‐hour return to normal activities without intercostal blocks, narcotic pain medications, drains, bandages, or other adjunctive devices in 96 percent of 627 augmentation patients. Expand
An approach that integrates patient education and informed consent in breast augmentation.
TLDR
A staged, integrated system of patient education and informed consent that provides information and requires simultaneous, informed consent in stages and organizes the education andinformed consent process so that it is clinically practical and also increases thoroughness and documentation while conserving surgeon time. Expand
Transaxillary subpectoral augmentation mammaplasty: long-term follow-up and refinements.
  • J. Tebbetts
  • Medicine
  • Plastic and reconstructive surgery
  • 1984
TLDR
Scar results suggest that the axilla is an anatomically favorable location for both high-quality final appearance and minimal visibility in all types of breasts requiring augmentation except the ptotic breast or breasts requiring extremely large prostheses. Expand
Patient acceptance of adequately filled breast implants using the tilt test.
  • J. Tebbetts
  • Medicine
  • Plastic and reconstructive surgery
  • 2000
TLDR
If patients will accept more firmness with an adequatelyfilled implant, regardless of the filler material, surgeons might worry less about recommending an adequately filled implant to patients, and manufacturers might feel more comfortable producing adequately filled implants and redefining fill volumes for underfilled implants. Expand
Patient evaluation, operative planning, and surgical techniques to increase control and reduce morbidity and reoperations in breast augmentation.
TLDR
Risks, trade-offs, complications, morbidity, time to recovery, and reoperation rates in breast augmentation can be improved substantially by stringent patient selection, thorough tissue evaluation, implant selection based on tissue characteristics, and selection of pocket location and surgical techniques. Expand
Dual plane breast augmentation: optimizing implant-soft-tissue relationships in a wide range of breast types.
  • J. Tebbetts
  • Medicine
  • Plastic and reconstructive surgery
  • 2001
TLDR
Specific indications and techniques for a dual plane approach to breast augmentation in several different breast types are described, introducing techniques that combine retromammary and partial retropectoral pocket locations in a single patient to optimize the benefits of each pocket location while limiting the tradeoffs and risks of a single pocket location. Expand
A system for breast implant selection based on patient tissue characteristics and implant-soft tissue dynamics.
  • J. Tebbetts
  • Medicine
  • Plastic and reconstructive surgery
  • 2002
TLDR
The TEPID system is a simple, efficient, and clinically practical method that allows surgeons to base implant selection on clinically quantifiable, individual patient tissue characteristics. Expand
Achieving a predictable 24-hour recovery following breast augmentation: Part I. Refining practices using motion and time study principles
  • Plast. Reconstr. Surg
  • 2002
The Best Breast: The Ultimate Discriminating Woman’s Guide to Breast Augmentation
  • Dallas: CosmetXpertise,
  • 1999
Dual plane (DP) breast augmentation: Optimizing implant–soft-tissue relationships in a wide range of breast
  • types. Plast. Reconstr. Surg
  • 2001
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