“…Other studies have also confirmed the fact that the horizontal scar from reduction 5 Plastic Surgery: An International Journal mammaplasty is the component that most bothers patients and leads to greatest dissatisfaction (Sprole, 2007;Cruz-Korchin, 2003). Various methods have been used in an attempt to ensure symmetry in breast surgery, ranging from tape measures (Spear, 2007), callipers (McKissock, 1991) or a goniometer (Lazarus, 1998) to a skin marker pen attached to a pendulum made from a silk suture in a midline structure (Raveendran, 2008). A study of 100 patients undergoing breast augmentation showed 88 percent of the women had some degree of asymmetry, with 65 percent having more than one parameter involved (e.g.…”