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Objective evaluation of volumetric changes during breast augmentation using intraoperative three-dimensional surface
1Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, Ziemssenstraße 5, Munich 80336, Germany.
Summary
Intraoperative three-dimensional surface imaging (3DSI) accurately measures breast volume changes during augmentation surgery. This objective tool aids in selecting breast implants, particularly for asymmetry cases.
Area of Science:
- Plastic Surgery
- Medical Imaging
- Surgical Technology
Background:
- Accurate breast volume estimation and implant sizing are critical for symmetrical outcomes in breast surgery.
- Three-dimensional surface imaging (3DSI) enhances understanding of breast shape and asymmetry preoperatively.
- Intraoperative application of 3DSI for real-time decision-making has been limited.
Purpose of the Study:
- To validate the intraoperative use of a portable 3D surface imaging device.
- To assess its efficacy as an objective tool for measuring volumetric changes during breast augmentation.
- To compare intraoperative measurements with established reference systems.
Main Methods:
- Bilateral submuscular breast augmentation patients were enrolled.
- A portable 3D surface imaging device (Sense 3D scanner) was used intraoperatively.
- Digital breast volumes were compared to known implant volumes and pre/postoperative reference scans.
Main Results:
- Eighty breasts were successfully imaged intraoperatively.
- No significant difference was found between intraoperative and outpatient 3DSI breast volumes.
- Intraoperative volumetric changes correlated well with known implant volumes (p=0.124).
Conclusions:
- Intraoperative 3DSI provides objective data for breast augmentation.
- This technique shows high correlation for volumetric changes.
- It may improve implant selection, especially for asymmetrical breasts.
