How do you create the world’s best clinic for breast surgery?
– creating predictable results.
– striving towards fewer complications and reoperations.
– providing a better experience of the time before and after surgery.
If everyone agreed on this, all would be well. But today you see many examples of poor aesthetics and bad judgement, leading to unnecessary complications.
So how do we get there?
It’s about being in control.
From the 90s onwards, Dr. Charles Randquist abandoned saline and liquid silicone implants and currently uses exclusively form-stable silicone. This, combined with a “sharper” surgical technique with proprietary surgical instruments, “Instant Stille by Randquist”, resulting in less bleeding, has led to better healing and less scarring.
Dr Randquist has developed a working model consisting of 5 P’s:
- Patient selection and education
- Proportional thinking
- Planning BEFORE surgery
- Performance DURING surgery
- Post-operative care AFTER surgery
A successful practice is not so much built by the patients you operate on, but rather by those you choose NOT to operate on.
As a surgeon you must have the courage to say “I don’t do that.”
The patient must receive proper knowledge from trained staff, on how to take care of him- or herself before and after the operation, not least with regard to diet, alcohol and tobacco, and physical training.
To work proportionately means, for a breast procedure, taking into account the patient’s physique, to accurately measure the breasts, as well as to examine in detail the patient’s skin type.
What is ultimately deemed “well-proportioned” breasts is often a matter of taste. The important thing is that you, as a surgeon, at all times is in control and work according to certain guidelines, and that the implants are always placed in the same way.
A well-planned surgery means that the surgeon carefully examines the patient’s physical conditions regarding any asymmetries in the chest. Then it is important to select the correct implant size and shape, and determine how these should be placed in the body in relation to the unique characteristics of the patient.
Performance is about choosing the right surgical instruments and proper equipment to perform the operation in the best way. It is also about what steps to take when it comes to keeping a sterile environment, by preparing the patient, the surgeon and other staff for the operation. It is also about how to move around in the operating room. No unnecessary movements that can influence the sterile environment and the outcome of the operation.
To achieve the absolute best results from a breast surgery, the patient should begin with a special training program already two hours after surgery. This is to counteract stiffness, help the body to drain the operated area and improve circulation to speed up the healing process. Getting started with the exercises also reduce the pain after an operation.
A silicone-based adhesive is to be used from when stitches are removed, for about six months (until the six-month visit). After the stitches have been removed we also recommend to always wear a sport-bra, or the equivalent, both day and night.
Victoriaklinkens overall objectives are
- Security and predictability
- Sound surgical principles
- To have the best short- and long-term results.
Measuring performance is also very important.
If you do not measure, you can not handle it!
We follow our patients for four years after surgery, and include a guarantee, which is valid for 5 years. If capsular contraction should arise during this period, we will re-operate the patient free of charge.