Table 1.
Decision-making Factors for Implant Size Selection in 52 Webpages
| Elements of Preoperative Planning | Decision-making Factors Identified | Percentage of Webpages | Example Considerations |
|---|---|---|---|
| Patient education and informed consent | Surgeon input | 86.54% | Share goals during consult, trust physician authority |
| Lifestyle | 51.92% | Exercise, career, clothing | |
| Complications and adverse outcomes | 30.77% | Back pain, future implant removal, infection | |
| Fertility and aging | 21.15% | Future pregnancy, breastfeeding, and breast growth | |
| Family/friend input | 15.38% | Bring someone to consultation, discuss options with others | |
| Communication of patient goals | Conception of goal size | 61.54% | Do not reference bra sizes, over/underestimate implant size |
| Surgical motivation | 57.69% | Restore shape after breastfeeding, increase size | |
| Correct breast asymmetry | 19.23% | Correct incongruous breast sizes or breast deformity | |
| Tissue-based measurements | Body and tissue-based measurements | 86.54% | Height, weight, skin elasticity, breast dimensions, breast size |
| Patient decision support Devices | 3D imaging, photography, wearable sizers | 61.54% | 3D simulation, reference photos, wearable implant sizers |
| Review of implant and surgical options | Other features of implant | 55.77% | Implant profile, type, and shape |
| Procedural considerations | 25% | Concurrent breast lift, implant placement |