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Quantifying Dynamic Deformity After Dual Plane Breast Augmentation.
Marcelo Recondo Cheffe1,2, Jorge Diego Valentini3,4, Marcus Vinicius Martins Collares5
1Hospital São Lucas (HSL), Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil. marcelo@cheffe.com.br.
Aesthetic Plastic Surgery
|January 6, 2018
Summary
A new method objectively measures dynamic breast deformity (DBD) after dual plane breast augmentation (DPBA). This technique quantifies breast distortion caused by pectoralis muscle contraction, aiding patient-surgeon discussions.
Area of Science:
- Plastic Surgery
- Medical Imaging
- Biomechanical Analysis
Background:
- Dynamic breast deformity (DBD) is a visible breast distortion after submuscular augmentation, often due to pectoralis major muscle contraction.
- While typically not clinically significant, objective measurement of DBD is lacking.
Purpose of the Study:
- To present a simple, objective method for measuring dynamic breast deformity (DBD).
- To assess this method in patients undergoing dual plane breast augmentation (DPBA).
Main Methods:
- Studied 32 women (18-50 years) post-DPBA with ≥1 year follow-up.
- Marked anthropometric breast landmarks, creating linear segments for measurement.
- Captured standardized photos during no pectoralis contraction (NPC) and maximum pectoralis muscle contraction (MPC).
- Measured segments using ImageJ software, comparing NPC and MPC measurements.
Main Results:
- Statistically significant differences were found in all analyzed breast segments between NPC and MPC.
- The p-value was less than 0.001, indicating high statistical significance.
Conclusions:
- A novel, reproducible, and standardized method for measuring DBD after DPBA is proposed.
- This objective quantification aids pre- and postoperative discussions between patients and surgeons.
- Informed decisions regarding potential animation deformities after breast augmentation can be facilitated.
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