116 No.93-1, XinLong Rd. Sec.2, Taipei, Taiwan
Genesis Clinic, Aesthetic Department
Cheng-Hung Chiu, M.D.
Genesis Clinic, Aesthetic Department
Cheng-Hung Chiu, M.D.
Introduction: Many women are disturbed by the small size of their breasts, while others are not satisfied with the symmetry of them. Autologous fat transplantation (AFT) is becoming a more common method for solving these problems.
When doing AFT to the breasts, surgeons always have to decide how much volume should be transplanted to the breasts to be balance the under developed and asymmetrical out looking, since the real volume and symmetry of the breasts are not always the same as they look. We develop a simple method to measure the breast volume. Surgeons can use this method to know the exact volume and symmetry of the breast of their patients.
Materials and Methods: Three beakers with different volumes and moths were used for measuring the breast size of patients. The volume of the beakers were 1.5L, 2.7L and 3.7L, and the diameters of these beakers were 12cm, 15cm and 17cm respectively which can fit almost all sizes of breasts. Preoperative assessment of breast volume can be done by filling the beaker with warm water, and then ask the patient to put their breast into the beaker. The breast volume was defined by the difference between the full volume and the residual volume once the breast was removed. To maximize precision, the whole procedure should be repeated for at least 2 to 3 times for each breast and the results averaged. From Jan. 2010 to Dec. 2010 We used this method to measure patient’s breast volume preoperatively and follow the postoperative change of breast size for 28 patients seeking AFT to their breast for cosmetic purposes.
Results: 56 breasts (28 female patients) were enrolled in this study. The average preoperative breast size was 295ml right side and 288ml left side. AFT to the breast was 263ml right side and 258ml left side. Postoperative follow up at one month interval showed right side 475ml and left side 471ml.
Conclusion: Water displacement test is an easy to measure the breast size. Surgeons can decide how much fat to be transplanted to combat the under developed and asymmetrical breasts according to these results. Furthermore, postoperative followed up can reveal the outcome and the survival rate of the transplanted fat which can give use clues to advance AFT techniques.
Materials and Methods: Three beakers with different volumes and moths were used for measuring the breast size of patients. The volume of the beakers were 1.5L, 2.7L and 3.7L, and the diameters of these beakers were 12cm, 15cm and 17cm respectively which can fit almost all sizes of breasts. Preoperative assessment of breast volume can be done by filling the beaker with warm water, and then ask the patient to put their breast into the beaker. The breast volume was defined by the difference between the full volume and the residual volume once the breast was removed. To maximize precision, the whole procedure should be repeated for at least 2 to 3 times for each breast and the results averaged. From Jan. 2010 to Dec. 2010 We used this method to measure patient’s breast volume preoperatively and follow the postoperative change of breast size for 28 patients seeking AFT to their breast for cosmetic purposes.
Results: 56 breasts (28 female patients) were enrolled in this study. The average preoperative breast size was 295ml right side and 288ml left side. AFT to the breast was 263ml right side and 258ml left side. Postoperative follow up at one month interval showed right side 475ml and left side 471ml.
Conclusion: Water displacement test is an easy to measure the breast size. Surgeons can decide how much fat to be transplanted to combat the under developed and asymmetrical breasts according to these results. Furthermore, postoperative followed up can reveal the outcome and the survival rate of the transplanted fat which can give use clues to advance AFT techniques.
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