Laschuk Matthew J, Head Linden K, Roumeliotis Grayson A, Xuan Lisa, Silverman Howard J
Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, The Ottawa Hospital - Civic Campus, 1053 Carling Avenue Box 213, K1Y 4E9 Ottawa, ON, Canada.
Oxford Craniofacial Unit, Oxford University, United Kingdom.
JPRAS Open. 2019 Nov 13;23:55-59. doi: 10.1016/j.jpra.2019.11.001. eCollection 2020 Mar.
Breast surgery often requires changing the diameter of the areola. Recommended areolar size is commonly based on population averages, or surgical judgement. An ideal areola size has not been previously been described. We hypothesized that the ideal areolar diameter would be proportional to two breast measurements not commonly altered during breast surgery: the nipple diameter and breast base width.
'The Sun' newspaper (London, UK) publishes photographs of topless models which are selected based on the aesthetic appeal of their non-operated breasts. The publication's archive, from March 2014 to January 2017, was independently reviewed by three authors to identify photographs that presented a clear anterior view of the breast. The base width, nipple diameter and areolar diameter were measured independently by each reviewer. Measurements were pooled, and the mean was included for analysis. Ratios of the areolar diameter to the base width and the nipple diameter were calculated.
The photographs of 58 models were eligible for inclusion. The average areolar diameter to base width was 0.29 (SD = 0.05). The average nipple to areolar diameter was 0.29 (SD = 0.06).
In aesthetically pleasing breasts, the areolar diameter is proportional to both the breast base width and nipple diameter. Breast base width is commonly measured preoperatively in aesthetic breast procedures, and is not typically modified. Breast base width can therefore be used to determine the ideal areolar size using the ratio of areola:base width ratio of 0.29 identified in this study.
乳房手术通常需要改变乳晕直径。推荐的乳晕大小通常基于人群平均值或手术判断。此前尚未描述过理想的乳晕大小。我们假设理想的乳晕直径与乳房手术中通常不会改变的两个乳房测量值成比例：乳头直径和乳房基底宽度。
《太阳报》（英国伦敦）刊登无上装模特照片，这些照片是根据她们未做手术的乳房的美学吸引力挑选出来的。2014年3月至2017年1月该出版物的存档由三位作者独立审查，以识别能清晰呈现乳房前视图的照片。每位审查员独立测量基底宽度、乳头直径和乳晕直径。测量值汇总后，取平均值进行分析。计算乳晕直径与基底宽度和乳头直径的比值。
58名模特的照片符合纳入标准。乳晕直径与基底宽度的平均比值为0.29（标准差=0.05）。乳头与乳晕直径的平均比值为0.29（标准差=0.06）。
在美观的乳房中，乳晕直径与乳房基底宽度和乳头直径均成比例。在美容性乳房手术中，乳房基底宽度通常在术前测量，且一般不会改变。因此，根据本研究确定的乳晕：基底宽度比值0.29，乳房基底宽度可用于确定理想的乳晕大小。
