Dr. Vasisht's Keys to Successful Breast Augmentation

Breast Augmentation- Assessing the Patient

 Bhupesh Vasisht, MD, FACS
South Shore Plastic Surgery & Center for Aesthetic Laser
Voorhees, NJ

The Four D’s Principle of Vasisht

• Diagnosis-Examine the breast well

• Decisions- Know all the options before and after the augmentation

• Dissection- Execution of the procedure

• Disaster Prevention- Avoid them!

History

• Get a good history…!

• LISTEN TO THE PATIENT

• LISTEN TO THE PATIENT

• LISTEN TO THE PATIENT

Key Factors

• Tissue thickness

• Symmetry -glandular or nonglandular

• Chest wall issues

• Ptosis

• Match patient desire to what is possible with their anatomy

Decisions- Provide Options

• Implant placement

  • Subpectoral

  • Sunglandular

  • Sub Facial

• Implant Type

  • Silicone vs Saline

  • Textured vs Smooth

  • Profile of the implant

• Incision- Approach

  • Inframammary

  • Periareolar

  • Trans Axillary

  • Trans Umbo

• 350 cc smooth

• Cohesive gel MP

• subpectoral with left mastopexy

• 460 cc smooth round

• HP mentor

• sub-pectoral