Editor: William P. Adams Jr., MD
: Thieme – 200 pages, with 26 videos
Book Review by: Nano Khilnani

Statistics on surgery show that breast augmentation is now the No. 1 or No.2 procedure in the United States. Overseas, this procedure continues to grow in popularity, and there have been refinements leading to a corresponding improvement in outcomes, the editor Dr. Adams points out in the Preface to this book.

Nineteen specialists in breast augmentation procedures and in related fields in aesthetic, cosmetic, plastic and reconstructive surgery, from all over the United States and four other countries – Australia, Brazil, Sweden, and the United Kingdom – authored or coauthored the 14 chapters of this book that we list below to provide you an overview of the coverage of this book

  1. The Process of Breast Augmentation
  2. Patient education
  3. Tissue-Based Planning
  4. Three-Dimensional Imaging
  5. Shaped Versus Rounded Implants
  6. Biofilms and Breast Implants: How Science Guides Us to Do the Best for Our Patients
  7. Dual-Plane Breast Augmentation
  8. The Inflammatory Approach and the Dual-Plane Pocket
  9. The Transaxillary Approach
  10. Periareolar Mastopexy Augmentation
  11. Infra-areolar Zigzag Augmentation Mammaplasty
  12. Breast Augmentation with Large Volume Fat Grafting
  13. Revision Breast Augmentation
  14. Postoperat9ive Management

Additional information and guidance is available online when you register your copy of this book. Go to the inside front cover of this book, then:

  1. Scratch off the film
  2. Scan the QR code or Enter your access code at MediaOne. Thieme.com/Code
  3. Set up a username, sign in to activate your access to the e-book and its additional online media

Quick Access: After you have successfully registered and activate your code you can come back anytime to www.MediaOne.Thieme.com and type in the ISBN of this book, which 9781626236523.

Content in the chapters is systematically organized, and typically, these are the components of that organizational outline:

  • Summary
  • Key Points
  • Introduction
  • Topics of discussion and explanation, along with images and captions
  • Conclusion
  • References

Let us take a look for example into Chapter 6 – Biofilms and Breast Implants: How Science Guides Us to the Best for Our Patients, authored by W. Louis F. Wessels, Karen Vickery, and Anand F. Deva:

Summary: This section states that over the last 10 to 15 years, much evidence accumulated from research points out the complications that can result in breast implant complications. One cause of complications is bacteria, which can gain access to the implant at the time of insertion. The bacteria can cause a biofilm (subclinical) infection. This causes what is termed capsular contracture, which is the most common reason patients come back for re-operation.

Key Points:

  1. Importance and causation of capsular contracture
  2. Bacterial biofilms and their significance for surgeons and clinicians are described
  3. Supportive evidence of biofilms being a major cause of capsular contraction presented
  4. Anti-infective strategies to prevent the formation of biofilm on breast implants are codified and outlined in a 14-point plan

6.1 – Introduction:

Detailed description of the process of capsular contracture in breast augmentation and breast reconstruction

6.2 – Bacterial Biofilms  

Detailed description of how bacteria come in contact a surface and how biofilm is developed, including a list of devices reported to have biofilm-related device-associated infection

6.3 – Evidence Supporting the Subclinical Infection Hypothesis 

Much evidence is presented and discussed in this section.

6.4 – The 14-Point Plan to Prevent Bacterial Biofilm Formation

Detailed descriptions of the 14 steps.

6.5 – Future Developments

Orthopedic literature shows that the cumulative effect of anti-infective strategies can significantly reduce the risk of wound contamination and prosthetic joint infection.


Detailed list of 60 sources of information is presented in this section.

This is an excellent resource, in print and video format, on breast augmentation.


William P. Adams Jr., MD is Associate Professor and Program Director of the Aesthetic Surgery Fellowship in the Department of Plastic Surgery at the University of Texas’ Southwestern Medical Center in Dallas, Texas.