An Aesthetic Factor Priority List of the Female Breast in Scandinavian Subjects.

Autor:	Sandberg LJ; Department of Plastic Surgery, Oslo University Hospital, Oslo Norway; Telmark Healthcare Trust, Skien, Norway., Tønseth KA; Department of Plastic Surgery, Oslo University Hospital, Oslo, Norway., Kloster-Jensen K; Department of Plastic Surgery, Oslo University Hospital, Oslo, Norway., Liu J; Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas, Houston, Tex., Robe C; Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas, Houston, Tex., Reece G; Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas, Houston, Tex., Hansen EH; University of Southeast Norway, Porsgrunn, Norway., Berntsen K; University of Southeast Norway, Porsgrunn, Norway., Halle M; Karolinska University Hospital, Stockholm, Sweden., Edsander-Nord Å; Karolinska University Hospital, Stockholm, Sweden., Höckerstedt A; University of Helsinki, Helsinki, Finland., Kauhanen S; University of Helsinki, Helsinki, Finland., Sneistrup C; AK Nygart Private Hospital, Copenhagen, Denmark., Tindholdt T; Aleris Healthcare, Malmö, Sweden., Petter Gullestad H; Department of Plastic Surgery, Oslo University Hospital, Oslo Norway; Telmark Healthcare Trust, Skien, Norway., Gunnarsson GL; Department of Plastic Surgery, Sørlandet Hospital Trust., Berg E; Department of Plastic Surgery, Telemark Hospital Trust., Selber JC; Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas, Houston, Tex.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2020 Apr 11; Vol. 8 (10), pp. e3173. Date of Electronic Publication: 2020 Apr 11 (Print Publication: 2020).
DOI:	10.1097/GOX.0000000000003173
Abstrakt:	Background: There is little consensus about the relative determinative value of each individual factor in female breast aesthetics. When performing breast surgery with an aesthetic goal, certain factors will be more important than others. The purpose of this study was to make an aesthetic factor rank list to determine the relative contributions to overall breast aesthetics. Method: Volunteers were scanned using the 3-dimensional Vectra system. Ten Scandinavian plastic surgeons rated 37 subjects, using a validated scoring system with 49 scoring items. The correlation between specific aesthetic factors and overall breast aesthetic scores of the subjects were calculated using Pearson's r, Spearman's ρ, and Kendall's τ. Results: A very strong correlation was found between overall breast aesthetic score and lower pole shape (0.876, P < 0.0001). This was also true for upper pole shape (0.826, P < 0.0001) and breast height (0.821, P < 0.0001). A strong correlation was found between overall breast aesthetic score and nipple position (0.733, P < 0.0001), breast size (0.644, P < 0.0001), and breast width (0.632, P < 0.0001). Factors that were only moderately correlated with aesthetic score were intermammary distance (0.496, P = 0.002), nipple size and projection (0.588, P < 0.0001), areolar diameter (0.484, P < 0.0001), and areolar shape (0.403, P < 0.0001). Perceived symmetry was a weak factor (0.363, P = 0.027). Conclusions: Aesthetic factors of the female breast can be ranked in a priority list. Shape of the lower pole and upper pole and breast height are primary factors of female breast aesthetics. These should be prioritized in any aesthetic breast surgery. Vertical dimensional factors seem to be more determinative than horizontal factors. Competing Interests: Disclosure: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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