TY - JOUR A1 - Brébant, Vanessa A1 - Weiherer, Maximilian A1 - Noisser, Vivien A1 - Seitz, Stephan A1 - Prantl, Lukas A1 - Eigenberger, Andreas T1 - Implants Versus Lipograft: Analysis of Long-Term Results Following Congenital Breast Asymmetry Correction T2 - Aesthetic Plastic Surgery N2 - Aims Congenital breast asymmetry represents a particular challenge to the classic techniques of plastic surgery given the young age of patients at presentation. This study reviews and compares the long-term results of traditional breast augmentation using silicone implants and the more innovative technique of lipografting. Methods To achieve this, we not only captured subjective parameters such as satisfaction with outcome and symmetry, but also objective parameters including breast vol-ume and anthropometric measurements. The objective examination was performed manually and by using the Vectra H2 photogrammetry scanning system. Results Differences between patients undergoing either implant augmentation or lipograft were revealed not to be significant with respect to patient satisfaction with surgical outcome (p= 0.55) and symmetry (p= 0.69). Furthermore, a breast symmetry of 93 % was reported in both groups. Likewise, no statistically significant volume difference between the left and right breasts was observed in both groups (p\0.41). However, lipograft patients needed on average 2.9 procedures to achieve the desired result, compared with 1.3 for implant augmentation. In contrast, patients treated with implant augmentation may require anumber of implant changes during their lifetime. Conclusion Both methods may be considered for patients presenting with congenital breast asymmetry. KW - Congenital Breast Asymmetry KW - 3D volumetry KW - Autologous fat injections KW - Three-dimensional imaging KW - Lipograft Y1 - 2022 UR - https://opus4.kobv.de/opus4-oth-regensburg/frontdoor/index/index/docId/3240 UR - https://nbn-resolving.org/urn:nbn:de:bvb:898-opus4-32404 VL - 46 SP - 2228 EP - 2236 PB - Springer Nature ER -