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Optimizing Surgical Outcomes: A Case Series on BREAST-V for Treating Breast Asymmetries
José Renato Nahlous Ferreira Leite1, Mayara Mytzi de Aquino Silva2, Paulo Afonso Monteiro Pacheco Guimarães2
1Postgraduate Program in Translational Surgery, Division of Plastic Surgery, Federal University of São Paulo (Unifesp), Rua Botucatu, 740-2º andar, Vila Clementino, São Paulo, Brazil.
The BREAST-V tool accurately assesses breast asymmetry, aiding surgical planning and improving outcomes. This study shows significant reduction in asymmetry after surgical correction, enhancing patient results.
Area of Science:
- Plastic Surgery
- Medical Devices
- Surgical Assessment
Background:
- Breast asymmetry is a common condition with various causes, including developmental, endocrine, and post-traumatic factors.
- Severe breast asymmetry can lead to postural, aesthetic, and psychological concerns, often necessitating surgical intervention.
- Accurate breast volume assessment is critical for effective surgical planning and evaluation of outcomes.
Purpose of the Study:
- To evaluate the effectiveness of the BREAST-V tool in assessing breast asymmetry.
- To determine the impact of surgical correction on breast volume and asymmetry.
- To assess the clinical utility of objective volumetric measurements in managing breast asymmetry.
Main Methods:
- A prospective, non-randomized interventional study involving 40 patients with breast asymmetry.
- Utilized the BREAST-V tool for breast volume calculation based on three linear measurements.
- Patients underwent tailored surgical procedures (augmentation, reduction, mastopexy), with pre- and postoperative volumes compared.
Main Results:
- The study included 40 participants with an average age of 25.2 years.
- Surgical correction resulted in an average asymmetry reduction of 72.9%, with postoperative volumes decreasing significantly.
- The minimal clinically important difference for pre-treatment asymmetry was determined to be 65.4 g.
Conclusions:
- The BREAST-V tool demonstrates significant potential for objective breast asymmetry assessment.
- Reliable volumetric measurements from BREAST-V can enhance surgical planning and postoperative evaluation.
- The tool contributes to improved clinical outcomes in the management of breast asymmetry.

