Marcelo Recondo Cheffe1,2, Jorge Diego Valentini3,4, Marcus Vinicius Martins Collares5, Pedro Salomão Piccinini6, Jefferson Luis Braga da Silva7,8. 1. Hospital São Lucas (HSL), Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil. marcelo@cheffe.com.br. 2. Clínica Cheffe, Alameda Major Francisco Barcelos 76, Porto Alegre, RS, 91340390, Brazil. marcelo@cheffe.com.br. 3. Hospital São Lucas (HSL), Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil. 4. Clínica Cheffe, Alameda Major Francisco Barcelos 76, Porto Alegre, RS, 91340390, Brazil. 5. Department of Plastic and Craniomaxillofacial Surgery, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. 6. HSL, PUCRS, Porto Alegre, Brazil. 7. Hand Surgery and Reconstructive Microsurgery, HSL, Porto Alegre, Brazil. 8. School of Medicine, PUCRS, Porto Alegre, Brazil.
Abstract
BACKGROUND: Dynamic breast deformity (DBD) is characterized by visible distortion and deformity of the breast due to contraction of the pectoralis major muscle after submuscular breast augmentation; fortunately, in most cases, this is not a clinically significant complaint from patients. The purpose of this study is to present a simple method for objectively measuring DBD in patients submitted to dual plane breast augmentation (DPBA). METHODS: We studied 32 women, between 18 and 50 years old, who underwent primary DPBA with at least 1 year of follow-up. Anthropometric landmarks of the breast were marked, creating linear segments. Standardized photographs were obtained both during no pectoralis contraction (NPC) and during maximum pectoralis muscle contraction (MPC); measurements of the linear segments were taken through ImageJ imaging software, and both groups were compared. RESULTS: We found statistically significant differences in all analyzed segments when comparing measurements of the breasts during NPC and MPC (p < 0.001). CONCLUSION: Our study proposes a novel, standardized method for measuring DBD after DPBA. This technique is reproducible, allowing for objective quantification of the deformity in any patient, which can be valuable for both patients and surgeons, as it allows for a more thorough discussion on DBD, both pre- and postoperatively, and may help both patients and surgeons to make more informed decisions regarding potential animation deformities after breast augmentation. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
BACKGROUND: Dynamic breast deformity (DBD) is characterized by visible distortion and deformity of the breast due to contraction of the pectoralis major muscle after submuscular breast augmentation; fortunately, in most cases, this is not a clinically significant complaint from patients. The purpose of this study is to present a simple method for objectively measuring DBD in patients submitted to dual plane breast augmentation (DPBA). METHODS: We studied 32 women, between 18 and 50 years old, who underwent primary DPBA with at least 1 year of follow-up. Anthropometric landmarks of the breast were marked, creating linear segments. Standardized photographs were obtained both during no pectoralis contraction (NPC) and during maximum pectoralis muscle contraction (MPC); measurements of the linear segments were taken through ImageJ imaging software, and both groups were compared. RESULTS: We found statistically significant differences in all analyzed segments when comparing measurements of the breasts during NPC and MPC (p < 0.001). CONCLUSION: Our study proposes a novel, standardized method for measuring DBD after DPBA. This technique is reproducible, allowing for objective quantification of the deformity in any patient, which can be valuable for both patients and surgeons, as it allows for a more thorough discussion on DBD, both pre- and postoperatively, and may help both patients and surgeons to make more informed decisions regarding potential animation deformities after breast augmentation. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Entities:
Keywords:
Breast animation; Breast augmentation; Dual plane; Dynamic breast deformity; Subpectoral
Authors: Elena Tsangaris; Andrea L Pusic; Manraj N Kaur; Sophocles Voineskos; Louise Bordeleau; Toni Zhong; Raghavan Vidya; Justin Broyles; Anne F Klassen Journal: Ann Surg Oncol Date: 2021-02-26 Impact factor: 5.344
Authors: Geetika Mehra; Tal Kaufman-Goldberg; Sagit Meshulam-Derazon; Elizabeth R Boskey; Oren Ganor Journal: Plast Reconstr Surg Glob Open Date: 2021-01-21