<< Back to the abstract archive
Using three-dimensional photography to evaluate symmetry following unilateral breast reconstruction and contralateral symmetry procedures
Juan L. Rendon
Michael J. Miller
The Ohio State University Wexner Medical Center
2018-02-15
Presenter: Juan L Rendon
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting.
Director Name: Gregory Pearson
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
Purpose
Patients with unilateral breast cancer often chose bilateral mastectomies because of a desire for symmetry. We hypothesize that symmetry can be achieved by coupling properly selected primary reconstructive methods with surgical techniques to modify the contralateral breast. To test this, we analyzed 3-D digital images from a group of patients who underwent unilateral mastectomy and reconstruction with contralateral symmetry procedures and a group of patients who underwent bilateral mastectomies and reconstruction.
Methods
Between 2012 and 2015, 195 patients underwent breast reconstruction. Patients were categorized based on unilateral mastectomy/reconstruction with symmetry procedure (Group 1) vs bilateral mastectomies and reconstruction (Group 2). 3-D digital images were analyzed using Mirror Software. Breast dimensions were compared between breasts. The average number of procedures for Group 1 was 2.83 ± 1.20 and for group 2 was 2.07 ± 0.83. Average time to complete the reconstruction for Group 1 was 386 ± 390 days and for Group 2 was 167 ±139 days.
Results
Measurements demonstrate improved symmetry with contralateral procedures. There was an increased number of procedures and corresponding increased length of time required to complete reconstructions in Group 1 compared to Group 2. The final reconstructive results demonstrated comparable symmetry between the two groups.
Conclusions
Using 3-D imaging as tool to objectively assess symmetry following breast reconstruction, our results demonstrate that it is possible to achieve symmetric shape and volume with unilateral reconstruction and contralateral balancing procedures. Moreover, our study suggest that 3-
D imaging may prove a valuable tool in assessing surgical outcomes.
