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Quantifying Dynamic Deformity After Dual Plane Breast Augmentation

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Abstract

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

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Author information

Correspondence to Marcelo Recondo Cheffe.

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Conflict of interest

The authors declare that they have no conflicts of interest with regard to the content of this manuscript.

Ethical standards

This study was approved by the IRB, and all procedures performed were in accordance with the ethical standards of Hospital São Lucas - Pontifical University Catholic of Rio Grande do Sul research committee and with the 1964 Declaration of Helsinki and its later amendments.

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Supplementary material 1 (MP4 17638 kb)

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Cheffe, M.R., Valentini, J.D., Collares, M.V.M. et al. Quantifying Dynamic Deformity After Dual Plane Breast Augmentation. Aesth Plast Surg 42, 716–724 (2018). https://doi.org/10.1007/s00266-017-1065-y

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Keywords

  • Breast augmentation
  • Dynamic breast deformity
  • Breast animation
  • Subpectoral
  • Dual plane