Abstract
Background
Measurement of volumetric change after augmentation mammaplasty is of great significance to plastic surgeons. This study aimed to introduce a new method using a three-dimensional (3D) scanning technique to measure volumetric change after augmentation mammaplasty.
Methods
Preoperative 3D scans of 10 breasts were included in the study. A simulated postoperative breast scan was constructed using software. The true value of volumetric change was calculated. Volumetric change was measured and repeated 10 times by the traditional method and the new method. One investigator used the traditional method, and two investigators used the new method. The difference from the true value between the two methods and the intraclass coefficient (ICC) for each method was evaluated. Comparison of agreement with the true value and comparison of agreement using the new method between the two investigators were made using a Bland–Altman analysis.
Results
The mean breast volumetric change was 256.1 ± 61.1 ml for the new method, 281.9 ± 73.7 ml for the traditional method, and 256.0 ± 61.0 ml for the true value. The difference from the true value for the traditional method was significantly greater than for the new method. The ICC was 0.9999 for the new method and 0.993 for the traditional method. Bland–Altman analysis showed a 95 % confidence interval (CI) of −40.9 to 92.7 ml for the traditional method and −0.9 to 1.2 ml for the new method. Comparison of agreement between investigators 1 and 2 showed a 95 % CI of −0.9 to 1.0 ml. The limits of agreement were ±1.0 ml.
Conclusions
The proposed new method can provide excellent accuracy, repeatability, and reproducibility in measuring volumetric change after augmentation mammaplasty using a 3D scanning technique.
Level of Evidence I
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 at www.springer.com/00266.
Similar content being viewed by others
References
Galdino GM, Nahabedian M, Chiaramonte M et al (2002) Clinical applications of three-dimensional photography in breast surgery. Plast Reconstr Surg 110:58–70
Losken A, Seify H, Denson DD et al (2005) Validating three-dimensional imaging of the breast. Ann Plast Surg 54:471–476
Tepper OM, Small K, Rudolph L et al (2006) Virtual 3-dimensional modeling as a valuable adjunct to aesthetic and reconstructive breast surgery. Am J Surg 192:548–551
Kovacs L, Eder M, Hollweck R et al (2006) New aspects of breast volume measurement using 3-dimensional surface imaging. Ann Plast Surg 57:602–610
Kovacs L, Eder M, Hollweck R et al (2007) Comparison between breast volume measurement using 3D surface imaging and classical techniques. Breast 16:137–145
Tepper OM, Karp NS, Small K et al (2008) Three-dimensional imaging provides valuable clinical data to aid in unilateral tissue expander-implant breast reconstruction. Breast J 14:543–550
Tepper OM, Small KH, Unger JG et al (2009) 3D analysis of breast augmentation defines operative changes and their relationship to implant dimensions. Ann Plast Surg 62:570–575
Eder M, Waldenfels FV, Sichtermann M et al (2011) Three-dimensional evaluation of breast contour and volume changes following subpectoral augmentation mammaplasty over 6 months. J Plast Reconstr Aesthet Surg 64(9):1152–1160
Henseler H, Khambay BS, Bowman A et al (2011) Investigation into accuracy and reproducibility of a 3D breast imaging system using multiple stereo cameras. J Plast Reconstr Aesthet Surg 64:577–582
Liu C, Luan J, Mu L et al (2010) The role of three-dimensional scanning technique in evaluation of breast asymmetry in breast augmentation: a 100-case study. Plast Reconstr Surg 126:2125–2132
Besl PJ, McKay ND (1992) A method for registration of 3-D shapes. IEEE Trans Pattern Anal Mach Intell 14:239–256
Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 327:307–310
Hall-Findlay EJ (2010) The three breast dimensions: analysis and effecting change. Plast Reconstr Surg 125:1632–1642
Elfadl D, Garimella V, Mahapatra TK et al (2010) Lipomodelling of the breast: a review. Breast 19:202–209
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Liu, C., Luan, J., Ji, K. et al. Measuring Volumetric Change After Augmentation Mammaplasty Using a Three-Dimensional Scanning Technique: An Innovative Method. Aesth Plast Surg 36, 1134–1139 (2012). https://doi.org/10.1007/s00266-012-9944-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-012-9944-8