Aesthetic Plastic Surgery

, Volume 36, Issue 3, pp 570–577 | Cite as

A Study of Postural Changes After Breast Augmentation

  • Marco MazzocchiEmail author
  • Luca Andrea Dessy
  • Pierpaolo Iodice
  • Raoul Saggini
  • Nicolò Scuderi
Original Article



A number of factors, including body mass and one’s mood, may influence posture. Breast augmentation results not only in a significant improvement in body image-related feelings and self-esteem but also in a sudden change in body mass. The aim of this study was to assess postural changes following breast augmentation by studying body position, orientation through space, and center of pressure.


Patients with breast hypoplasia who underwent breast augmentation were enrolled. Posture evaluation was performed before and 1, 4, and 12 months after surgery by quantifying the center of mass using the Fastrak system and the center of pressure using stabilometry. The Wilcoxon signed-rank sum test was used to compare value modifications.


Forty-eight patients were enrolled in the study. A retropositioning of the upper part of the body, confirmed by baropodometric analysis, was evident in the early postoperative period. We subsequently observed a reprogramming of the biomechanical system, which reached a state of equilibrium 1 year after surgery, with a slight retropositioning of the head and a compensatory anterior positioning of the pelvis.


We believe that with respect to posture, the role played by psychological aspects is even more important than that played by changes in body mass. Indeed, hypomastia is often associated with kyphosis because patients try to hide what they consider a deficiency. Following breast augmentation, the discovery of new breasts overcomes the dissatisfaction with the patient’s own body image, increases self-esteem, and modifies posture regardless of the changes in body mass due to the insertion of the implants.


Breast augmentation Posture Fastrak Stabilometry Body image 



None of the authors has a financial interest in any of the products, devices, or drugs described in this article.


  1. 1.
    Beale S, Lisper HO, Palm B (1980) A psychological study of patients seeking augmentation mammaplasty. Br J Psychiatry 136:133–138PubMedCrossRefGoogle Scholar
  2. 2.
    Ohlsen L, Ponten B, Hambert G (1979) Augmentation mammaplasty: A surgical and psychiatric evaluation of the results. Ann Plast Surg 2:42–52PubMedCrossRefGoogle Scholar
  3. 3.
    Sarwer DB, Pertschuk MJ, Wadden TA, Whitaker LA (1998) Psychological investigations in cosmetic surgery: a look back and a look ahead. Plast Reconstr Surg 101:1136–1142PubMedCrossRefGoogle Scholar
  4. 4.
    Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA (1998) The psychology of cosmetic surgery: a review and reconceptualization. Clin Psychol Rev 18:1–22PubMedCrossRefGoogle Scholar
  5. 5.
    Schlebusch L (1989) Negative bodily experience and prevalence of depression in patients who request augmentation mammaplasty. S Afr Med J 75:323–326PubMedGoogle Scholar
  6. 6.
    Schoner G (1991) Dynamic theory of action-perception patterns: the “moving room” paradigm. Biol Cybern 64:455–462PubMedCrossRefGoogle Scholar
  7. 7.
    Cash TF, Duel LA, Perkins LL (2002) Women’s psychosocial outcomes of breast augmentation with silicone gel-filled implants: a 2-year prospective study. Plast Reconstr Surg 109:2112–2121PubMedCrossRefGoogle Scholar
  8. 8.
    Handel N, Cordray T, Gutierrez J, Jensen JA (2006) A long-term study of outcomes, complications, and patient satisfaction with breast implants. Plast Reconstr Surg 117:757–767PubMedCrossRefGoogle Scholar
  9. 9.
    Wells KE, Cruse CW, Baker JL Jr, Daniels SM, Stern RA, Newman C, Seleznick MJ, Vasey FB, Brozena S, Albers SE (1994) The health status of women following cosmetic surgery. Plast Reconstr Surg 93:907–912PubMedCrossRefGoogle Scholar
  10. 10.
    Young VL, Nemecek JR, Nemecek DA (1994) The efficacy of breast augmentation: breast size increase, patient satisfaction, and psychological effects. Plast Reconstr Surg 94:958–969PubMedCrossRefGoogle Scholar
  11. 11.
    Shik ML, Orlovsky GN (1976) Neurophysiology of locomotor automatism. Physiol Rev 56:456–501Google Scholar
  12. 12.
    Garcia-Rill E (1986) The basal ganglia and the locomotor regions. Brain Res Rev 11:47–63CrossRefGoogle Scholar
  13. 13.
    Grasso R, Peppe A, Stratta F, Angelini D, Zago M, Stanzione P, Lacquaniti F (1999) Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson’s disease. Exp Brain Res 26:139–148CrossRefGoogle Scholar
  14. 14.
    Mori S (1987) Integration of posture and locomotion in acute decerebrate cats in awake, freely moving cats. Prog Neurobiol 28:161–195PubMedCrossRefGoogle Scholar
  15. 15.
    Mori S, Nishimura H, Kurakami C, Yamamura T, Aoki M (1978) Controlled locomotion in the mesencephalic cat: distribution of facilitatory and inhibitory regions within pontine tegmentum. J Neurophysiol 41:1580–1591PubMedGoogle Scholar
  16. 16.
    Mori S, Kawahara K, Sakamoto T (1983) Supraspinal aspects of locomotion in the mesencephalic cat. Symp Soc Exp Biol 37:445–468PubMedGoogle Scholar
  17. 17.
    Mori S, Sakamoto T, Ohta Y, Takakusaki K, Matsuyama K (1989) Site-specific postural and locomotor changes evoked in awake, freely moving intact cats by stimulating the brainstem. Brain Res 505:66–74PubMedCrossRefGoogle Scholar
  18. 18.
    Jankowska E, Edgley S (2000) Interactions between pathways controlling posture and gait at the level of spinal interneurones in the cat. Prog Brain Res 97:161–171CrossRefGoogle Scholar
  19. 19.
    Maffey-Ward L, Jull G, Wellington L (1996) Toward a clinical test of lumbar spine kinesthesia. J Orthopaed Sports Phys Ther 24:354–358Google Scholar
  20. 20.
    Willems JM, Jull GA, J KF (1996) An in vivo study of the primary and coupled rotations of the thoracic spine. Clin Biomech 11:311–316CrossRefGoogle Scholar
  21. 21.
    Swinkels A, Dolan P (1998) Regional assessment of joint position sense in the spine. Spine 23:590–597PubMedCrossRefGoogle Scholar
  22. 22.
    Mello RGT, Oliveira LF, Nadal J (2007) Anticipation mechanism in body sway control and the influence of muscle fatigue. J Electromyogr Kinesiol 17:739–746PubMedCrossRefGoogle Scholar
  23. 23.
    Oliveira LF, Simpson DM, Nadal J (1994) Autoregressive spectral analysis of stabilometric signals. In: Proceedings of the 16th annual international conference of IEEE engineering in medicine and biology, Baltimore, MD, November 3–6, 1994Google Scholar
  24. 24.
    Oliveira LF, Simpson DM, Nadal J (1996) Calculation of area of stabilometric signals using principal components analysis. Physiol Meas 17:305–312PubMedCrossRefGoogle Scholar
  25. 25.
    Bizzo G, Guillet N, Patat A, Gagey PM (1985) Specifications for building a vertical force platform designed for clinical stabilometry. Med Biol Eng Comput 23:474–476PubMedCrossRefGoogle Scholar
  26. 26.
    French Association of Posturology (1985) Normes 85. Edité es par l’Association Francaise de Posturologie, ParisGoogle Scholar
  27. 27.
    Morrison DF (1978) Multivariate statistical methods, 2nd ed edn. McGraw-Hill, AucklandGoogle Scholar
  28. 28.
    Black FO, Shupert CL, Horak FB, Nashner LM (1983) Abnormal postural control associated with peripheral vestibular disorders. In: Pompeiano O, Allum JHJ (eds) Vestibulospinal Control of Posture and Locomotion. Elsevier, Amsterdam, pp 263–275Google Scholar
  29. 29.
    Diener HC, Dichgans J, Guschlauber B, Man H (1984) The significance of proprioception on postural stabilization as assessed by ischemia. Brain Res 296:103–109PubMedCrossRefGoogle Scholar
  30. 30.
    Hood JD (1980) Unsteadiness of cerebellar origin: an investigation into the cause. J Laryngol Otol 94:865–876PubMedCrossRefGoogle Scholar
  31. 31.
    Karnath HO, Ferber S, Dichgans J (2000) The neural representation of postural control in humans. Proc Natl Acad Sci USA 97:13931–13936PubMedCrossRefGoogle Scholar
  32. 32.
    Rondot P, Odier F, Valade D (1992) Postural disturbances due to homonymous hemianopic visual ataxia. Brain 115:179–188PubMedCrossRefGoogle Scholar
  33. 33.
    Galeazzi GM, Monzani D, Gherpelli C, Covezzi R, Guaraldi GP (2006) Posturographic stabilisation of healthy subjects exposed to full-length mirror image is inversely related to body-image preoccupations. Neurosci Lett 410:71–75PubMedCrossRefGoogle Scholar
  34. 34.
    Woollacott MH, Shumway-Cook A, Nashner L (1986) Aging and postural control: changes in sensory organization and muscular coordination. Int J Aging Hum Dev 23:97–114PubMedCrossRefGoogle Scholar
  35. 35.
    Lacour M, Barthelemy J, Borel L, Magnan J, Xerri C, Chays A, Ouaknine M (1997) Sensory strategies in human postural control before and after unilateral vestibular neurotomy. Exp Brain Res 115:300–310PubMedCrossRefGoogle Scholar
  36. 36.
    Peterka RJ (2002) Sensorimotor integration in human and postural control. J Neurophysiol 88:1097–1118PubMedGoogle Scholar
  37. 37.
    van der Kooij H, Jacobs R, Koopman B, Grootenboer H (1999) A multisensory integration model of human stance control. Biol Cybern 80:299–308PubMedCrossRefGoogle Scholar
  38. 38.
    Gagey PM, Weber B (1999) Posturologie; Régulation et dérèglements de la station debout, 2nd ed edn. Masson, ParisGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2011

Authors and Affiliations

  • Marco Mazzocchi
    • 1
    • 4
    Email author
  • Luca Andrea Dessy
    • 2
  • Pierpaolo Iodice
    • 3
  • Raoul Saggini
    • 3
  • Nicolò Scuderi
    • 2
  1. 1.Department of Plastic SurgeryUniversity of PerugiaPerugiaItaly
  2. 2.Department of Plastic Surgery“La Sapienza” University of RomeRomeItaly
  3. 3.Department of Neuroscience and Imaging“G. d’Annunzio” University of ChietiChietiItaly
  4. 4.RomeItaly

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