- 1
Use intravenous antibiotic prophylaxis at the time of anaesthetic induction
- 2
Avoid peri-areolar incisions
- 3
Use nipple shields to prevent spillage of bacteria into the pocket
- 4
Perform careful atraumatic dissection to minimize devascularised tissue
- 5
Perform careful hemostasis.
- 6
Avoid dissection into the breast parenchyma.
- 7
A dual-plane pocket has anatomic advantages
- 8
Perform pocket irrigation with correct proven triple antibiotic solution or betadine
- 9
Minimise skin-implant contamination
- 10
Minimise the time of implant opening, reposition and replacement of implant
- 11
Change surgical gloves prior to handling the implant. Use clean or new instruments that were not used in the pocket dissection
- 12
Avoid using a drainage tube, where possible
- 13
Use a layered closure
- 14
Use antibiotic prophylaxis to cover subsequent dental or surgical procedures that produce bacteremia, and have lifelong follow-up
The 14 Point Plan Video
