The high five™ process: Tissue-based planning for breast augmentation

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations


Despite popularity, breast augmentation has not advanced significantly in 20 years. The re-operation data for breast augmentation has been excessive at 15% to 20% in every Federal Drug Administration pre-market approval study for the past 15 years. Recently, a more scientific approach to breast augmentation has described a true process approach to this procedure. One element, tissue-based pre-operative planning, has been shown to reduce re-operation rate to less than 3% in published peer-reviewed studies. The High Five™ process was published in 2005 and codifies the 5 most important pre-operative decisions made during a breast augmentation procedure. Application into clinical practice of this planning system is discussed.

Original languageEnglish (US)
Pages (from-to)197-201
Number of pages5
JournalPlastic Surgical Nursing
Issue number4
StatePublished - Oct 1 2007

ASJC Scopus subject areas

  • Surgery
  • Medical–Surgical
  • Advanced and Specialized Nursing


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