Background <p>Breast asymmetry is common among augmentation candidates, yet implant selection often relies on subjective judgment. This study evaluated whether three-dimensional (3D) laser scanning could improve preoperative assessment and postoperative breast symmetry.</p> Methods <p>In this prospective randomized controlled study, 40 patients with breast asymmetry undergoing implant-based breast augmentation were randomly assigned to either a 3D laser scanning group or a conventional assessment group. In the 3D group, standardized digital measurements were used to guide implant selection, whereas in the control group implant selection was based on the surgeon’s clinical experience and routine preoperative evaluation. Postoperative breast volume difference, projection difference, satisfaction scores, and complications were assessed at 12 months.</p> Results <p>The 3D group showed significantly smaller bilateral breast volume differences (<i>P</i>&#xa0;&lt;&#xa0;0.05) and projection differences (<i>P</i>&#xa0;&lt;&#xa0;0.05). Patient satisfaction was higher in the 3D group (<i>P</i>&#xa0;&lt;&#xa0;0.05), while complication rates were low and comparable between groups (<i>P</i>&#xa0;&gt;&#xa0;0.05).</p> Conclusions <p>3D laser scanning provides objective and accurate breast measurements, thereby facilitating optimized implant selection, better postoperative symmetry, and higher satisfaction. It serves as a valuable tool for individualized planning in breast augmentation.</p> Level of Evidence I <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

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Three-Dimensional Laser Scanning-Assisted Prosthetic Breast Augmentation for Breast Asymmetry

  • Tiange Huang,
  • Muchen Zhang,
  • Zhiwei Shao,
  • Pengxu Chen,
  • Xueyang Li,
  • Peisheng Jin,
  • Bingkun Zhao,
  • Aijun Zhang

摘要

Background

Breast asymmetry is common among augmentation candidates, yet implant selection often relies on subjective judgment. This study evaluated whether three-dimensional (3D) laser scanning could improve preoperative assessment and postoperative breast symmetry.

Methods

In this prospective randomized controlled study, 40 patients with breast asymmetry undergoing implant-based breast augmentation were randomly assigned to either a 3D laser scanning group or a conventional assessment group. In the 3D group, standardized digital measurements were used to guide implant selection, whereas in the control group implant selection was based on the surgeon’s clinical experience and routine preoperative evaluation. Postoperative breast volume difference, projection difference, satisfaction scores, and complications were assessed at 12 months.

Results

The 3D group showed significantly smaller bilateral breast volume differences (P < 0.05) and projection differences (P < 0.05). Patient satisfaction was higher in the 3D group (P < 0.05), while complication rates were low and comparable between groups (P > 0.05).

Conclusions

3D laser scanning provides objective and accurate breast measurements, thereby facilitating optimized implant selection, better postoperative symmetry, and higher satisfaction. It serves as a valuable tool for individualized planning in breast augmentation.

Level of Evidence I

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.