The ABC of BBA: A Personal Perspective of a 10 Point Plan

Abstract The aim of bilateral breast augmentation (BBA) is not just to enlarge the breast, but to create an aesthetically pleasing enlarged breast. This is an elective surgical procedure, often performed on young healthy women—yet the incidence of revision is in the region of 20%. There is a wide variation in what these patients want cosmetically. A “10 point” plan is presented which should be considered in every patient undergoing BBA. Each point addresses a critical issue in BBA. Understanding the mechanics of the procedure is as important as knowing the technical details of the operation. There is no simple “one operation for all” approach in breast augmentation, but the hybrid augmentation represents an advance in this procedure. The incidence of revision surgery should be lowered when a careful, “thought out” approach is adopted. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .