Hsia Henry C, Thomson J Grant
Section of Plastic Surgery, Yale University School of Medicine, New Haven, Conn 06520, USA.
Plast Reconstr Surg. 2003 Jul;112(1):312-20; discussion 321-2. doi: 10.1097/01.PRS.0000066365.12348.A7.
There has been little discussion in the published literature regarding breast shape preferences. This study was conducted to ascertain previously undocumented differences in breast shape preferences between plastic surgeons and patients seeking breast augmentation, with respect to upper-pole contour. Sixty-six respondents, grouped into three cohort categories (plastic surgeons, breast augmentation patients, and lay people), were asked to evaluate a series of 12 nonptotic breast profiles representing a range of upper-pole contours. Five profiles exhibited convex upper-pole contours, five exhibited concave contours, and two exhibited upper poles with flat slopes. A five-point Likert-type scale was used to rate attractiveness, naturalness, how close the shape was to each respondent's personal ideal, and how close the shape was to what the respondent believed was our society's ideal. Statistical comparisons were made among the three cohorts. The plastic surgeon cohort (n = 11) rated concave upper-pole contours significantly higher than did the patient cohort (n = 13) for attractiveness, naturalness, and personal ideal (p < 0.01). For convex contours, the plastic surgeon cohort gave significantly lower scores than did the patient cohort (p < 0.01). The lay category (n = 42) demonstrated preferences intermediate between those of the other groups. There are no known studies in the literature documenting the breast shape preferences of plastic surgeons and their patients. This study suggests that plastic surgeons and patients seeking breast augmentation may have drastically different images in mind regarding what constitutes an attractive, natural, and ideal breast shape. These findings have potential implications for patient treatment and satisfaction.
已发表的文献中很少有关于乳房形状偏好的讨论。本研究旨在确定整形外科医生和寻求隆胸手术的患者在乳房形状偏好方面，在上极轮廓方面以前未被记录的差异。66名受访者被分为三个队列类别（整形外科医生、隆胸患者和普通人群），被要求评估一系列12个代表不同上极轮廓的非下垂乳房外形。五个外形呈现上极凸轮廓，五个呈现凹轮廓，两个呈现上极斜率平坦。采用五点李克特量表对吸引力、自然度、该形状与每个受访者个人理想的接近程度以及该形状与受访者认为的社会理想的接近程度进行评分。对三个队列进行了统计比较。整形外科医生队列（n = 11）对凹上极轮廓的吸引力、自然度和个人理想的评分显著高于患者队列（n = 13）（p < 0.01）。对于凸轮廓，整形外科医生队列给出的分数显著低于患者队列（p < 0.01）。普通人群类别（n = 42）的偏好介于其他两组之间。文献中尚无记录整形外科医生及其患者乳房形状偏好的研究。本研究表明，整形外科医生和寻求隆胸手术的患者在构成有吸引力、自然和理想乳房形状的概念上可能有截然不同的想法。这些发现对患者治疗和满意度有潜在影响。
