Implants Versus Lipograft: Analysis of Long-Term Results Following Congenital Breast Asymmetry Correction

  • 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.

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Author:Vanessa BrébantORCiD, Maximilian Weiherer, Vivien NoisserORCiD, Stephan Seitz, Lukas PrantlORCiD, Andreas EigenbergerORCiD
Parent Title (English):Aesthetic Plastic Surgery
Publisher:Springer Nature
Document Type:Article
Year of first Publication:2022
Publishing Institution:Ostbayerische Technische Hochschule Regensburg
Release Date:2022/03/17
Tag:3D volumetry; Autologous fat injections; Congenital Breast Asymmetry; Lipograft; Three-dimensional imaging
First Page:2228
Last Page:2236
Institutes:Fakultät Informatik und Mathematik
Fakultät Informatik und Mathematik / Regensburg Medical Image Computing (ReMIC)
Fakultät Maschinenbau / Labor Biomechanik (LBM)
research focus:Lebenswissenschaften und Ethik
OpenAccess Publikationsweg:Hybrid Open Access - OA-Veröffentlichung in einer Subskriptionszeitschrift/-medium
Funding:DEAL Springer Nature
Licence (German):Creative Commons - CC BY - Namensnennung 4.0 International