A Prospective Evaluation of Three-Dimensional Image Simulation: Patient-Reported Outcomes and Mammometrics in Primary Breast Augmentation

Overschmidt, Bo; Al-Qureshi, H. A.; Parikh, Rohan; Yan, Yan; Tenenbaum, M; Myckatyn, Terence M.

doi:10.1097/prs.0000000000004601

Cited by 30 publications

(13 citation statements)

References 36 publications

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“…The use of the BREAST-Q to quantify changes in satisfaction with breasts, psychosocial well-being, and sexual well-being associated with breast augmentation has also been reported in other studies. 3 25 26 27 The comparison of preoperative BREAST-Q scores obtained in the present study with those reported by previous studies 8 18 25 26 showed that, except for the physical well-being domain, the mean domain scores were much lower in this series, suggesting a greater patient dissatisfaction with the measured parameters at baseline. This may be related to differences in perceived body image between Brazilian and international populations, with hypomastia having a greater impact on the quality of life of Brazilian women, or it may be related to overreporting by patients trying to increase their chances to be selected for the surgical procedure provided by the public health system.…”

Section: Discussionsupporting

confidence: 73%

Patient-Reported Outcomes after Subpectoral Breast Augmentation with Microtextured or Macrotextured Implants Using the BREAST-Q

et al. 2022

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Background Breast augmentation with implants is the most commonly performed cosmetic plastic surgery in Brazil and worldwide. The aim of this study was to assess patient satisfaction and quality of life following subpectoral breast augmentation with either microtextured or macrotextured implants, using the BREAST-Q. Methods A prospective study was conducted with 40 women with hypomastia undergoing subpectoral breast augmentation. The patients were randomly allocated to two groups to receive either microtextured or macrotextured breast implants. All participants were assessed preoperatively (baseline) and after 2 and 4 months of surgery for quality of life and patient satisfaction with the surgical results, using the BREAST-Q augmentation module, a patient-reported outcome measure. Results The patients had a mean age of 28.9 ± 6.45 years. The microtextured (n = 20) and macrotextured (n = 20) groups were homogeneous for sex, age, education level, marital status, and number of children (p > 0.05). Both groups showed significant improvement in satisfaction with breasts (p < 0.001), psychosocial well-being (p < 0.001), and sexual well-being (p < 0.001) at the 2- and 4-month follow-up visits compared with baseline. The observed improvements were associated with high effect size values of 5.09, 3.44, and 3.90, respectively. In contrast, significant decreases from baseline in physical well-being scores (p = 0.001) were found 2 and 4 weeks after surgery in both groups. Conclusion Subpectoral breast augmentation with either microtextured or macrotextured breast implants improved satisfaction with breasts and quality of life in patients with hypomastia.

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Section: Discussionsupporting

confidence: 73%

Patient-Reported Outcomes after Subpectoral Breast Augmentation with Microtextured or Macrotextured Implants Using the BREAST-Q

et al. 2022

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“…12,13 Preoperative communication and patient education are imperative. 1,2,4,5 Changes communicated in volume measures will be hard for many patients to grasp. Patients communicating their wishes in milliliters may also have unrealistic expectations.…”

Section: Discussionmentioning

confidence: 99%

“…For this reason and because of the lack of other easily communicable parameters, cup size is frequently used in preoperative surgical consultations. [1][2][3][4][5] However, brassiere cup systems and sizes are nonstandardized measures. Different brassiere cup systems, such as the European, French, English, and US systems, are in parallel use in most markets.…”

Section: Introductionmentioning

confidence: 99%

Brassiere Cup Size Agreement between Patients and Plastic Surgeons: Do Surgeons and Patients Speak the Same Size Language?

Sandberg¹,

Tønseth²,

Kloster-Jensen³

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Patients undergoing plastic surgery of the breasts often communicate their size expectations as a brassiere cup size. However, multiple factors may cause a miscommunication between the surgeon and patient when brassiere cup size is used as a measure of results. The aim of this study was to determine the degree of agreement between disclosed and estimated brassiere cup size and also interrater agreement. Methods: Three-dimensional (3D) scans of 32 subjects were evaluated by 10 plastic surgeons estimating cup size using the American brassiere system. The surgeons were blinded to all parameters, including the 3D surface software-derived volume measures of the Vectra scan. The 3D scans of the anterior torsos were viewed. The plastic surgeons’ estimations were compared with the cup sizes stated by the subjects (disclosed cup size), using simple and weighted Kappa statistics. Results: Agreement between the estimated and disclosed brassiere sizes was only slight (0.1479 ± 0.0605) using a simple Kappa analysis. Even when a Fleiss-Cohen–weighted comparison was used, only moderate agreement (0.6231 ± 0.0589) was found. The interrater agreement intraclass correlation coefficient was 0.705. Rater accuracy varied. The percentage of time spent in cosmetic practice and gender were not significantly correlated with accuracy. Conclusions: Agreement between cup size disclosed by subjects and estimates by plastic surgeons was low. A miscommunication between the surgeon and patient may occur when using brassiere sizes to communicate wishes and estimates in procedures that involve changes in breast volume.

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“…Concerns were also raised as to the accuracy of the generated images and what affect this could have on the patient's expected outcomes. [56][57][58][59] Recent advances in this field have focused on converting two-dimensional images captured either with photographs or surface scanners into three-dimensional simulations with much less effort and device requirements. The Crisalix system used in this study is one of these types of systems.…”

Section: Discussionmentioning

confidence: 99%

“…Concerns were also raised as to the accuracy of the generated images and what affect this could have on the patient’s expected outcomes. 56–59…”

Section: Discussionmentioning

confidence: 99%

Use of Three-Dimensional Imaging to Assess the Effectiveness of Volume as a Critical Variable in Breast Implant Selection

Hammond

Kim

Bageris

et al. 2021

Plastic &Amp; Reconstructive Surgery

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Background: In breast augmentation, breast base diameter has been recognized as an important variable in implant selection. However, breast implant volume also has a tremendous impact on the final result. Previous methods of preoperative volume determination have been limited to external devices in a bra. Computer-based three-dimensional simulation technology now allows the physician to effectively communicate with the patient preoperatively regarding volume. Methods: A cohort of 40 consecutive patients underwent routine breast augmentation with either anatomically shaped or round implants. Five methods of preoperative volume determination including the Crisalix three-dimensional computer imaging system (Crisalix Virtual Aesthetics, Lausanne, Switzerland), along with an associated virtual reality tool, were used to assess the preoperative desires of the patients. A postoperative questionnaire was used to assess patient satisfaction with each volume determination method. Results: Of the 40 patients, 100 percent were satisfied with their result; however, given the opportunity, 12 percent would have chosen a larger implant. The virtual reality tool and external sizers were shown to be the most effective in choosing an implant. The virtual reality tool was judged to be very helpful (62 percent), very accurate (78 percent), and important (88 percent) in helping patients choose their desired implant size. Conclusion: Prioritizing volume as an implant selection variable in breast augmentation results in a very high rate of patient satisfaction. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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A Prospective Evaluation of Three-Dimensional Image Simulation: Patient-Reported Outcomes and Mammometrics in Primary Breast Augmentation

Abstract: Therapeutic, II.

Cited by 30 publications

References 36 publications

Patient-Reported Outcomes after Subpectoral Breast Augmentation with Microtextured or Macrotextured Implants Using the BREAST-Q

Patient-Reported Outcomes after Subpectoral Breast Augmentation with Microtextured or Macrotextured Implants Using the BREAST-Q

Brassiere Cup Size Agreement between Patients and Plastic Surgeons: Do Surgeons and Patients Speak the Same Size Language?

Use of Three-Dimensional Imaging to Assess the Effectiveness of Volume as a Critical Variable in Breast Implant Selection

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