TY - JOUR
T1 - A prospective evaluation of three-dimensional image simulation
T2 - Patient-reported outcomes and mammometrics in primary breast augmentation
AU - Overschmidt, Bo
AU - Qureshi, Ali A.
AU - Parikh, Rajiv P.
AU - Yan, Yan
AU - Tenenbaum, Marissa M.
AU - Myckatyn, Terence M.
N1 - Funding Information:
Disclosure: Dr. Myckatyn receives grant funding, consultant, and advisory board fees from Allergan, investigator-initiated grant funding and consultant fees from LifeCell, investigator-initiated grant funding and consultant fees from RTI, and advisory board fees from Viveve. Dr. Tenenbaum receives grant funding and consultant fees from Allergan, grant funding from Mentor, and advisory board fees from Viveve. No other authors report any disclosures.
Funding Information:
This study was funded by an investigator-initiated grant from Allergan, Inc., to Terence M. Myckatyn, M.D. (IIT-000418). The authors are grateful to Rollin Read (Canfield Scientific, Inc.) for offering guidance with mammometric analysis. They are also grateful to Colleen Kilbourne-Glynn for enrolling and coordinating this study and Annette Irving for assistance with institutional review board preparation and renewal.
Publisher Copyright:
Copyright © 2018 by the American Society of Plastic Surgeons.
PY - 2018/8
Y1 - 2018/8
N2 - Background: Outcomes in primary breast augmentation depend on careful preoperative planning and clear communication between patient and surgeon. Three-dimensional imaging with computer simulation is an evolving technology with the potential to enhance the preoperative consultation for patients considering primary breast augmentation. The purpose of this study was to prospectively evaluate the impact of three-dimensional imaging with computer simulation on patient-reported and objective, mammometric outcomes in women undergoing primary breast augmentation. Methods: One hundred patients were enrolled in a prospective trial with randomized and nonrandomized arms. The randomized arm was composed of a control group consisting of patients who underwent tissue-based planning without simulation (n = 13) and an intervention group consisting of patients who were simulated (n = 10). The remainder constituted the nonrandomized group who specifically sought pre-operative simulation. Patient-reported outcomes (BREAST-Q) and mammometric data were recorded and compared preoperatively and 6 months postoperatively. Results: Over time, significantly more patients refused randomization and chose simulation (p = 0.03). Breast augmentation led to substantial improvements in satisfaction with breasts, sexual well-being, and outcome. Simulation, however, did not significantly impact patient-reported outcomes or mammometric parameters. No strong correlations were identified between patient-reported outcomes and mammometrics. Conclusions: Patients are likely to use novel technology such as three-dimensional photography with computer simulation if they perceive it to enhance their understanding of their final outcome. These patients may seek out practices specifically offering such technology. Incorporation of simulation into the preoperative consultation, however, did not lead to clinically meaningful changes in patient-reported outcomes.
AB - Background: Outcomes in primary breast augmentation depend on careful preoperative planning and clear communication between patient and surgeon. Three-dimensional imaging with computer simulation is an evolving technology with the potential to enhance the preoperative consultation for patients considering primary breast augmentation. The purpose of this study was to prospectively evaluate the impact of three-dimensional imaging with computer simulation on patient-reported and objective, mammometric outcomes in women undergoing primary breast augmentation. Methods: One hundred patients were enrolled in a prospective trial with randomized and nonrandomized arms. The randomized arm was composed of a control group consisting of patients who underwent tissue-based planning without simulation (n = 13) and an intervention group consisting of patients who were simulated (n = 10). The remainder constituted the nonrandomized group who specifically sought pre-operative simulation. Patient-reported outcomes (BREAST-Q) and mammometric data were recorded and compared preoperatively and 6 months postoperatively. Results: Over time, significantly more patients refused randomization and chose simulation (p = 0.03). Breast augmentation led to substantial improvements in satisfaction with breasts, sexual well-being, and outcome. Simulation, however, did not significantly impact patient-reported outcomes or mammometric parameters. No strong correlations were identified between patient-reported outcomes and mammometrics. Conclusions: Patients are likely to use novel technology such as three-dimensional photography with computer simulation if they perceive it to enhance their understanding of their final outcome. These patients may seek out practices specifically offering such technology. Incorporation of simulation into the preoperative consultation, however, did not lead to clinically meaningful changes in patient-reported outcomes.
UR - http://www.scopus.com/inward/record.url?scp=85059797366&partnerID=8YFLogxK
U2 - 10.1097/PRS.0000000000004601
DO - 10.1097/PRS.0000000000004601
M3 - Article
C2 - 30045174
AN - SCOPUS:85059797366
SN - 0032-1052
VL - 142
SP - 133E-144E
JO - Plastic and Reconstructive Surgery
JF - Plastic and Reconstructive Surgery
IS - 2
ER -