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