Clinical Applications of Three-Dimensional Photography in... : Plastic and Reconstructive Surgery (original) (raw)
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Galdino, Greg M. M.D.; Nahabedian, Maurice M.D.; Chiaramonte, Michael M.D.; Geng, Jason Z. Ph.D.; Klatsky, Stanley M.D.; Manson, Paul M.D.
Baltimore and Kensington, Md.
From the Division of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, and Genex Technologies. Received for publication September 10, 2001; revised November 20, 2001.
The basis for this article was presented at the 69th Annual Scientific Meeting of the American Society of Plastic Surgery, in Los Angeles, California, October 14 through 18, 2000.
Greg M. Galdino, M.D. 563 20th Avenue San Francisco, Calif. 94121[email protected]
Abstract
Three-dimensional imaging in breast surgery has several uses clinically. The most practical applications are for the evaluation of breast asymmetries, both congenital and acquired, and for the evaluation of factors affecting breast shape in augmentation mammaplasty. Other uses of threedimensional imaging that we have found clinically helpful are for evaluation of patients desiring reduction mammaplasty and for evaluation of patients undergoing unilateral breast reconstruction to determine the expander and permanent implant size that gives the best symmetry with the contralateral breast. We present five cases in which we investigate the use of three-dimensional imaging clinically by using the images to determine quantitative information about the breast, such as volume or projection. Overall, three-dimensional imaging is very helpful in providing objective information about the breast for use in preoperative planning. In addition, by analyzing clinical cases, it can provide objective data about the breast and surgical mammaplasty (especially augmentation mammaplasty) that may help surgeons better understand those factors that contribute to breast shape and influence surgical outcomes. There are currently some limitations of this system, influenced by patients with significant ptosis or obesity, which may introduce errors into the three-dimensional data, making them unreliable. However, we believe three-dimensional imaging has great clinical potential in surgical mammaplasty.
©2002American Society of Plastic Surgeons
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