TY - JOUR
T1 - Quantifying Dynamic Deformity After Dual Plane Breast Augmentation
AU - Cheffe, Marcelo Recondo
AU - Valentini, Jorge Diego
AU - Collares, Marcus Vinicius Martins
AU - Piccinini, Pedro Salomão
AU - da Silva, Jefferson Luis Braga
N1 - Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Background: Dynamic breast deformity (DBD) is characterized by visible distortion and deformity of the breast due to contraction of the pectoralis major muscle after submuscular breast augmentation; fortunately, in most cases, this is not a clinically significant complaint from patients. The purpose of this study is to present a simple method for objectively measuring DBD in patients submitted to dual plane breast augmentation (DPBA). Methods: We studied 32 women, between 18 and 50 years old, who underwent primary DPBA with at least 1 year of follow-up. Anthropometric landmarks of the breast were marked, creating linear segments. Standardized photographs were obtained both during no pectoralis contraction (NPC) and during maximum pectoralis muscle contraction (MPC); measurements of the linear segments were taken through ImageJ imaging software, and both groups were compared. Results: We found statistically significant differences in all analyzed segments when comparing measurements of the breasts during NPC and MPC (p < 0.001). Conclusion: Our study proposes a novel, standardized method for measuring DBD after DPBA. This technique is reproducible, allowing for objective quantification of the deformity in any patient, which can be valuable for both patients and surgeons, as it allows for a more thorough discussion on DBD, both pre- and postoperatively, and may help both patients and surgeons to make more informed decisions regarding potential animation deformities after breast augmentation. Level of Evidence V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
AB - Background: Dynamic breast deformity (DBD) is characterized by visible distortion and deformity of the breast due to contraction of the pectoralis major muscle after submuscular breast augmentation; fortunately, in most cases, this is not a clinically significant complaint from patients. The purpose of this study is to present a simple method for objectively measuring DBD in patients submitted to dual plane breast augmentation (DPBA). Methods: We studied 32 women, between 18 and 50 years old, who underwent primary DPBA with at least 1 year of follow-up. Anthropometric landmarks of the breast were marked, creating linear segments. Standardized photographs were obtained both during no pectoralis contraction (NPC) and during maximum pectoralis muscle contraction (MPC); measurements of the linear segments were taken through ImageJ imaging software, and both groups were compared. Results: We found statistically significant differences in all analyzed segments when comparing measurements of the breasts during NPC and MPC (p < 0.001). Conclusion: Our study proposes a novel, standardized method for measuring DBD after DPBA. This technique is reproducible, allowing for objective quantification of the deformity in any patient, which can be valuable for both patients and surgeons, as it allows for a more thorough discussion on DBD, both pre- and postoperatively, and may help both patients and surgeons to make more informed decisions regarding potential animation deformities after breast augmentation. Level of Evidence V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
KW - Breast animation
KW - Breast augmentation
KW - Dual plane
KW - Dynamic breast deformity
KW - Subpectoral
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UR - http://www.scopus.com/inward/citedby.url?scp=85040029763&partnerID=8YFLogxK
U2 - 10.1007/s00266-017-1065-y
DO - 10.1007/s00266-017-1065-y
M3 - Article
C2 - 29302731
AN - SCOPUS:85040029763
SN - 0364-216X
VL - 42
SP - 716
EP - 724
JO - Aesthetic Plastic Surgery
JF - Aesthetic Plastic Surgery
IS - 3
ER -