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Three-Dimensional Imaging for Breast Augmentation: Is This Technology Providing Accurate Simulations?
Jason Roostaeian1, William P Adams2
1Dr Roostaeian is an assistant clinical instructor in the Division of Plastic Surgery at the University of California-Los Angeles.
Aesthetic Surgery Journal
|June 28, 2014
Summary
Three-dimensional (3D) imaging for breast augmentation offers accurate preoperative simulations. This study found 3D imaging to be over 90% accurate in predicting postoperative breast volume and contour.
Area of Science:
- Plastic Surgery
- Medical Imaging
- Biomedical Engineering
Background:
- Three-dimensional (3D) imaging is used for preoperative simulation in breast augmentation.
- The clinical accuracy of these 3D simulations has not been previously assessed.
Purpose of the Study:
- To compare preoperative 3D simulations with actual postoperative results of breast augmentation.
- To provide data for more informed patient decisions regarding breast augmentation procedures.
Main Methods:
- Volumetric and contour analyses were performed on 20 patients (40 breasts) undergoing breast augmentation.
- 3D imaging was utilized both preoperatively and 3 months postoperatively.
- Patients received either round smooth silicone or anatomically shaped cohesive silicone gel implants (mean volume 295 cc).
Main Results:
- The mean difference between simulated and actual postoperative breast volume was 27.2 cc (9.2% difference, 90.8% accuracy).
- The mean absolute difference in surface contour was 4.0 mm (98.4% accuracy).
- No procedural complications or revisions occurred in the study group.
Conclusions:
- Preoperative 3D imaging simulations demonstrate high accuracy in predicting postoperative breast volume (>90%).
- The mean absolute surface contour difference of 4 mm indicates high fidelity of the 3D imaging simulation.
