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A new software, the Breast Aesthetic Scale Calculator (BAS-Calc), offers a simple, objective method for assessing breast symmetry after cosmetic surgery. It demonstrates high accuracy and reproducibility, aiding surgeons in evaluating surgical outcomes.

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Area of Science:

  • Plastic Surgery
  • Medical Imaging Analysis
  • Surgical Outcome Assessment

Background:

  • The Breast Aesthetic Scale (BAS) was developed for objective assessment of cosmetic breast surgery outcomes.
  • BAS is based on the Objective Breast Cosmesis Scale (OBCS), initially used for breast cancer treatment symmetry assessment.
  • The study focuses on implementing and validating the BAS algorithm for cosmetic surgery.

Purpose of the Study:

  • To introduce and evaluate the Breast Aesthetic Scale Calculator (BAS-Calc) software for objective symmetry assessment in cosmetic breast surgery.
  • To determine the reproducibility and concordance of BAS-Calc with existing methods.
  • To provide surgeons with a simple tool for evaluating surgical results.

Main Methods:

  • Developed a multiplatform software, BAS-Calc, for Windows, Mac, and Linux.
  • Assessed 25 photographs twice by two independent surgeons to evaluate intrarater and interrater variability.
  • Compared BAS-Calc's categorization with the Breast Analyzing Tool® software.

Main Results:

  • Excellent intrarater (ICC=0.952, 0.965) and interrater (ICC=0.953, LCC=0.950) concordance was observed.
  • BAS-Calc showed almost perfect concordance (Cohen κ=0.920) with the Breast Analyzing Tool®.
  • The software accurately discriminates between symmetric and asymmetric results.

Conclusions:

  • BAS-Calc provides an objective method for symmetry assessment post-breast surgery.
  • The software is a simple and reliable tool for surgeons evaluating cosmetic breast surgery outcomes.
  • BAS-Calc accurately categorizes breast symmetry, aiding in objective outcome assessment.