John B. Tebbetts, MD, a pioneer in the field of breast augmentation, redefines the surgeon/patient experience in this comprehensive book. By exhaustively covering everything you need to know about breast augmentation, Dr. Tebbets allows for tightly focused guidance that is principle- rather than experienced-based, with numerous decision-making algorithms and outcome-based techniques, not just one-answer solutions. The book addresses topics that range from anesthesia and case studies of specific implants to practical matters like practice management. The included DVD is just as broad-based in its approach, containing not just dynamic video clips, but detailed operative scripts, the High FiveTM assessment and decision support system for implant selection and operative planning and the Patient education system for 24 hour recovery. Focuses exclusively on breast augmentation to make coverage as comprehensive as possible. Includes much-needed information on practice management, including patient consent, systems analysis, marketing, and data acquisitions. Addresses pre-, intra-, and postoperative care of patient for guidance from start to finish. Utilizes a separate chapter for each approach to breast augmentation: inframammary, axillary, periaereolar, or umbilical. Incorporates case studies of specific implants to help you make the right decision for your patients. Details TEPID (Tissue characteristics of the Envelope and Parenchyma, the Implant, and Dimensions and filler dynamics of the implant) system: the first three-dimensional modeling system for quantitating tissue characteristics. Comes with a bonus DVD that includes detailed intraoperative video of inframammary, axillary, and periareolar augmentation, dual plane augmentation techniques, customizable patient forms, and more. Provides 15 decision-making algorithms for all aspects of implant selection, surgery, and complications----the only published resource to do so. CONTENTS 1. Foreword 2. Introduction 3. An historical perspective - implants, surgeons, and the breast implant industry 4. Patient education and informed consent 5. Imaging of the breast - what pictures can and cannot do 6. Quantitating patients' tissue characteristics - the key to taking augmentation to the next level and optimizing long-term outcomes 7. Data acquisition and management for breast augmentation - preoperative assessment 8. Breast implants and implant soft-tissue dynamics - the next level of surgeon understanding that determines long-term outcomes for the patient 9. Implant pocket locations for augmentation 10. Incision approaches for augmentation 11. Operative planning and implant selection 12. Implant volume selection based on tissue criteria - the TEPID TM system 13. Preoperative preparation and marking 14. Preoperative care and anesthesia for augmentation 15. Surgical techniques and instrumentation for augmentation: the essential principles 16. The inframammary approach for augmentation 17. The axillary approach for augmentation 18. The periareolar approach for augmentation 19. The umbilical approach for augmentation 20. Perioperative and postoperative care 21. Redefining patient recovery - 24-hour return to normal activities 22. Management of specific breast deformities and problems 23. Augmentation - mastopexy 24. Capsular contracture and tissue stretch: factors the patients and surgeon can't control 25. Complications of breast augmentation: decisions and methods 26. Surgical facility design and management 27. Experience with saline anatomic breast implants - the McGhan Style 468 28. Experience with saline anatomic breast implants - the McGhan Style 410 29. The future: challenges and directions
