scholarly journals A Pilot Study Evaluation of Three-Dimensional Imaging in Cosmetic Breast Augmentation: Results of a Single Surgeon 3.5 Year Retrospective Study Using the BREAST-Q Questionnaire

Author(s):  
Lauren E Hutchinson ◽  
Andrea D Castaldo ◽  
Cedar H Malone ◽  
Nicole Z Sommer ◽  
Ashley N Amalfi

Abstract Background Traditional methods of breast implant size selection provide limited ability to demonstrate postoperative outcomes. Three-dimensional imaging provides an opportunity for improved patient evaluation, surgical planning, and evaluation of postoperative breast appearance. Objectives We hypothesized that preoperative 3D imaging for patients undergoing breast augmentation would improve patient satisfaction and understanding of expected surgical outcomes. Methods A retrospective review of patients undergoing breast augmentation by a single surgeon over a 3.5-year period was performed. Patients presenting after the VECTRA was purchased had preoperative 3D imaging, while patients presenting before this did not. Eligible patients received a BREAST-Q questionnaire designed for postoperative evaluation of breast augmentation. They also received a second survey that evaluated expected versus actual breast outcomes. Results 120 surveys were mailed and 61 patients (50.8%) returned the survey. The 3D imaged group had improved BREAST-Q scores regarding satisfaction with outcome, surgeon, and physical well-being compared to the group that did not. The imaged group also had higher size, shape, and overall breast correlation scores, confidence in implant size selection scores, and communication with surgeon scores. The differences between the two groups were not statistically significant. Conclusions Three-dimensional imaging is a valuable tool in breast surgery. Although our study showed improvement in patient satisfaction and predicted outcome scores in the 3D imaged group, our results were not statistically significant. With the majority of patients reporting they would choose 3D imaging, it appears to instill confidence in patients regarding both surgeon and implant selection.

2019 ◽  
Author(s):  
Eric J. Culbertson ◽  
William P. Adams Jr

Breast augmentation is a complicated process that goes far beyond placing an implant in a pocket. The implants and techniques of breast augmentation have undergone significant evolution over the past 50 years, and this is now one of the most commonly performed cosmetic procedures worldwide. Advancements in shell barrier technology and silicone form stability have improved implant functional characteristics and mechanical properties. Tissue-based planning uses measurable patient characteristics to match an implant to the patient’s tissue for greater control of the aesthetic result while minimizing complications. The realization of three-dimensional modeling systems allows a more sophisticated approach to implant selection and establishment of patient expectations. Specific surgical techniques, including pocket plane and incision location, ensure ideal implant placement. Optimal patient outcomes are achieved by integrating patient education, implant selection with tissue-based planning, refined surgical technique, and detailed postoperative recovery.  This review contains 12 figures, 6 tables, 1 video, and 74 references. Key Words: breast augmentation, breast implants, breast implant-associated anaplastic large cell lymphoma, dual plane, capsular contracture, saline implants, silicone implants, tissue-based planning, three-dimensional imaging 


2018 ◽  
Vol 63 (2) ◽  
pp. 134-139 ◽  
Author(s):  
A. de Runz ◽  
D. Boccara ◽  
N. Bertheuil ◽  
F. Claudot ◽  
M. Brix ◽  
...  

Author(s):  
Minu Raju ◽  
Shobha J Rodrigues ◽  
Mahesh Mundathaje ◽  
Sabaa Qureshi

ABSTRACT Background The evolution of cone beam computed tomo- graphy three-dimensional (CBCT 3D) imaging has dramatically changed the potential for presurgical and pretreatment planning, such that outcomes are more predictable and complications more avoidable. Purpose The purpose of this article was to systematically review scientific and clinical literature pertaining to the uses and benefits of 3D imaging CBCT for diagnosis and treatment planning in Implantology including prosthodontics. Materials and methods Various databases, like PubMed, EBSCOhost and ScienceDirect, were searched from 1998 to 2010 to retrieve articles regarding the clinical applications of CBCT in dentistry. Cone beam computed tomography in dentistry was used as a key phrase to extract relevant articles in dentistry. A manual search for the references from the retrieved articles was also completed. The articles published only in English, randomized clinical trials, prospective and retrospective clinical studies, laboratory and computer-generated research were included.   The search revealed 540 articles of which 447 were irrele- vant to the study and therefore excluded. Results Cone beam computed tomography has created an opportunity for clinicians to acquire the highest quality diagno- stic images with an absorbed dose that is comparable to other dental radiological examinations and less than a conventional CT. Therefore, if placement of an implant might approach a nerve, invade the sinus, or penetrate out of the confines of the jawbone, the patient should be offered a discussion of CBCT 3D imaging. In addition, CBCT 3D patients should be advised of the risks, benefits and alternatives to such treatment, based upon any additional data provided by the imaging. How to cite this article Rodrigues SJ, Mundathaje M, Raju M, Qureshi S. Three-dimensional Imaging in Implant Assessment for the Prosthodontist: Utilization of the Cone Beam Computed Tomography. Int J Prosthodont Restor Dent 2014;4(1):23-33.


2013 ◽  
Vol 132 (6) ◽  
pp. 1421-1429 ◽  
Author(s):  
Romain Weigert ◽  
Eric Frison ◽  
Quentin Sessiecq ◽  
Khalid Al Mutairi ◽  
Vincent Casoli

2014 ◽  
Vol 643 ◽  
pp. 279-282 ◽  
Author(s):  
Xiu Bo Luo ◽  
De Min Xu ◽  
Jun Jun Hu ◽  
Xiao Mei Hu

In the salvage process, data about the shape of shipwreck, sink sitting posture, buried degree and other related information should be required in order to develop salvage program. Three-dimensional imaging sonar is used to provide such data for salvage work by underwater acoustic detection and three-dimensional imaging technology. An application example is described and the results show the effectiveness.


2021 ◽  
pp. 000313482110318
Author(s):  
Rebecca M. Jordan ◽  
Monica Rebielak ◽  
Kelly Johnson ◽  
Marcus Fluck ◽  
Jacqueline Oxenberg

Tissue rearrangement (TR) is a basic oncoplastic technique to reshape the breast after breast conserving therapy (BCT). Tissue rearrangement can be combined with three-dimensional bioabsorbable markers (3DBM) as an easily adaptable technique to provide volume replacement and focused radiation. Since 3DBM can take time for absorption and symptoms related to its use have not been fully assessed, we evaluate patient’s overall satisfaction and well-being after TR with 3DBM is performed. We surveyed patients receiving BCT with adjuvant radiotherapy using BREAST-QTM BCT satisfaction and physical well-being surveys comparing patients receiving BCT alone to BCT with TR and/or 3DBM. Of 68 patients, 56 underwent BCT alone, 10 had BCT with TR + 3DBM, and 2 had BCT with TR. No significant difference was seen in physical well-being ( P = .39), while overall satisfaction was significantly improved following TR + 3DBM ( P = .0088). In summary, TR with use of 3DBM provides basic oncoplastic options to improve patient satisfaction without significantly changing symptoms.


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