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Menstrual Cycle-Related Fluctuations in Breast Volume Measured Using Three-Dimensional Imaging: Implications for Volumetric Evaluation in Breast Augmentation

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Abstract

Background

Breast volume is a key parameter of breast measurement in breast augmentation. However, the correlation between menstrual cycle phases and variation in breast volume has not been well studied.

Methods

Young female patients with regular menstrual cycles underwent eight three-dimensional imaging scans during a single menstrual cycle from November 2017 to January 2018. Breast volumetric difference at each timepoint and basic breast volume were measured for each subject. Preovulatory phase and postovulatory phase values were compared using an unpaired t test. A Pearson’s linear correlated analysis was performed to identify the correlation between the basic breast volume and maximum range of breast volumetric difference during the menstrual cycle.

Results

Thirteen patients (26 breasts) met the inclusion criteria. During the menstrual cycle, the breast volumetric difference showed first a rising trend followed by a fall. A significant difference in the breast volumetric difference between the preovulatory phase and postovulatory phase (− 19.6 ± 2.1 ml pre-ovulation vs. − 6.9 ± 3.3 ml post-ovulation, p = 0.002) was noted. There was a positive linear association between breast volume and maximum range of breast volumetric difference when a Pearson correlation was used (r = 0.45, p = 0.021).

Conclusions

The breast volume fluctuates during the menstrual cycle, and there is a significant difference between the preovulatory phase and postovulatory phase for breast volumetric change. The influence of the menstrual cycle on breast volume should be taken into consideration by plastic surgeons performing breast augmentation.

Level of Evidence IV

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Funding

This study was supported by Capital’s Funds for Health Improvement and Research (No. 2016-2-4041), PUMC Youth Fund & the Fundamental Research Funds for the Central Universities (No. 3332015156), to Dr. Chunjun Liu; and CAMS Initiative for Innovative Medicine (CAMS-I2M) (No. 2017-I2M-3-006) to Dr. Jie Luan.

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Correspondence to Chunjun Liu.

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Wang, C., Luan, J., Cheng, H. et al. Menstrual Cycle-Related Fluctuations in Breast Volume Measured Using Three-Dimensional Imaging: Implications for Volumetric Evaluation in Breast Augmentation. Aesth Plast Surg 43, 1–6 (2019). https://doi.org/10.1007/s00266-018-1243-6

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  • DOI: https://doi.org/10.1007/s00266-018-1243-6

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