Aesthetic Plastic Surgery

, Volume 42, Issue 3, pp 716–724 | Cite as

Quantifying Dynamic Deformity After Dual Plane Breast Augmentation

  • Marcelo Recondo CheffeEmail author
  • Jorge Diego Valentini
  • Marcus Vinicius Martins Collares
  • Pedro Salomão Piccinini
  • Jefferson Luis Braga da Silva
Original Article Breast Surgery



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).


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.


We found statistically significant differences in all analyzed segments when comparing measurements of the breasts during NPC and MPC (p < 0.001).


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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Breast augmentation Dynamic breast deformity Breast animation Subpectoral Dual plane 


Compliance with Ethical Standards

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.

Supplementary material

Supplementary material 1 (MP4 17638 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  • Marcelo Recondo Cheffe
    • 1
    • 2
    Email author
  • Jorge Diego Valentini
    • 1
    • 2
  • Marcus Vinicius Martins Collares
    • 3
  • Pedro Salomão Piccinini
    • 4
  • Jefferson Luis Braga da Silva
    • 5
    • 6
  1. 1.Hospital São Lucas (HSL)Pontifical Catholic University of Rio Grande do Sul (PUCRS)Porto AlegreBrazil
  2. 2.Clínica CheffePorto AlegreBrazil
  3. 3.Department of Plastic and Craniomaxillofacial Surgery, Hospital de Clínicas de Porto AlegreFederal University of Rio Grande do SulPorto AlegreBrazil
  4. 4.HSL, PUCRSPorto AlegreBrazil
  5. 5.Hand Surgery and Reconstructive Microsurgery, HSLPorto AlegreBrazil
  6. 6.School of MedicinePUCRSPorto AlegreBrazil

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