Intraoperative 3D Comparison of Round and Anatomical Breast Implants: Dispelling a Myth

Lotter, Luisa and Zucal, Isabel and Brebant, Vanessa and Heine, Norbert and Hartmann, Robin and Mueller, Karolina and Prantl, Lukas and Schiltz, Daniel (2022) Intraoperative 3D Comparison of Round and Anatomical Breast Implants: Dispelling a Myth. JOURNAL OF CLINICAL MEDICINE, 11 (1): 149. ISSN , 2077-0383

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Abstract

Background: Thanks to 3D imaging, it is possible to measure the influence of different parameters on breast augmentation. In this study, we compare the effect of different shapes and sizes of breast implants on the topography of the resulting breast. Furthermore, the impact of different breast implants on inter-landmark distances and on changes of the nipple position was assessed. Methods: This interventional prospective study was carried out on 10 female patients after collecting informed consent. 3D scans of the native and augmented breasts were performed intraoperatively with small, medium, and large sizes of both anatomical and round implants, resulting in a total of n = 130 single breast scans. These scans were analyzed for topographic shift quantification, nipple migration, and inter-landmark distances of the breast. Results: Implant size, but not implant shape leads to significant topographic shifts of the breast (p < 0.001 and p = 0.900, respectively). Both round and anatomical implants lead to a significantly higher volumetric increase in the upper quadrants compared to the lower quadrants (p < 0.001). Nipple migration into the superomedial quadrant was seen in about 90% of augmentations. No evident differences in inter-landmark distances were observed when round and anatomical implants of different sizes were compared. Conclusions: Implant size rather than shape influences the postoperative aesthetic results. No significant difference in topographic shift was found comparing round and anatomical implants, suggesting that both implant shapes result in comparable aesthetic outcomes.

Item Type: Article
Uncontrolled Keywords: VOLUME ASSESSMENT; AUGMENTATION MAMMAPLASTY; SHAPE; breast augmentation; breast implant; 3D-volumetry; 3D measurement; 3D scan
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Feb 2024 14:09
Last Modified: 14 Feb 2024 14:09
URI: https://pred.uni-regensburg.de/id/eprint/57459

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