Breast Volume Determination in Breast Hypertrophy

  • Laszlo Kovacs
  • Maximilian Eder


In the last few decades, several surgical techniques have been presented to decrease the symptoms of breast hypertrophy by removing a specific amount of breast tissue and reshaping the breast. Reliable and objective breast volume determination could be a helpful pre- and intraoperative assistance for the surgeon to achieve an aesthetic result, especially in breast asymmetry. But thus far no generally accepted method exists. In this paper, the advantages and disadvantages of classical techniques for breast volume determination (anthropomorphic measurements, conventional 2D radiological imaging, Archimedean methods, moulding techniques, measuring devices, modern radiological imaging) are critically analyzed and compared to an innovative alternative technique using 3D surface imaging. The technical background of 3D surface imaging is presented, underlining the reliability and accuracy of this innovative breast volume determination technique. Furthermore, a comparison of 3D surface imaging with the classical techniques of breast volume determination reveals the more comprehensible and transparent character of the 3D surface imaging method that permits a non-invasive, risk-free, non-contact, non-deformable patient assessment and delivers high-resolution 3D virtual, colored models of the breast region. Precise and accurate pre- and postoperative 3D quantitative calculations of shape, volume, surface changes, symmetry, projection, swelling tendency, contour and deformation are feasible. Finally, postoperative follow-up examinations at close intervals and optimizations of the preoperative surgical planning are possible. The clinical applications in the field of plastic, reconstructive and aesthetic breast surgery show promising results, but further implementations in other related fields should be performed.


Breast Volume Breast Region Breast Shape Optical Measurement System Ptotic Breast 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Two dimensional


Three dimensional


Computer tomography


Magnetic resonance imaging


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Plastic Surgery and Hand Surgery, Klinikum rechts der IsarTechnische Universität MünchenMünchenGermany

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