Plastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires School of Medicine, Peron 4190, 1st. Floor (1181), Buenos Aires, Argentina.
Aesthetic Plast Surg. 2020 Oct;44(5):1396-1402. doi: 10.1007/s00266-020-01733-y. Epub 2020 Apr 30.
Aesthetically pleasing and symmetrical breasts are the goal of reconstructive breast surgery. However, multiple procedures are sometimes needed to improve a reconstructed breast's symmetry and appearance. Since all breasts vary in terms of volume, height, width, projection, orientation, and shape, the lack of attention to these details at the moment of flap shaping in autologous reconstruction can lead to poor results. Recent advances in 3-dimensional (3D) surface imaging and printing technologies have allowed for improvement in autologous breast reconstruction symmetry. While 3D printing technology is becoming faster, more accurate, and less expensive, the technology required to obtain proper 3D breast images remains expensive, including laser scanners or 3D photogrammetric cameras. In this study, we present a novel use of an aesthetic surgery simulator software as an affordable alternative to obtaining 3D breast images and creating 3D printed biomodels to aid in the precise shaping of the flap. This approach aims to optimize aesthetic results in autologous breast reconstruction avoiding surgical revisions and reducing surgical times. LEVEL OF EVIDENCE IV: 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 .
美学上令人满意且对称的乳房是重建乳房手术的目标。然而，有时需要多次手术才能改善重建乳房的对称性和外观。由于所有乳房在体积、高度、宽度、突出度、方向和形状方面都存在差异，如果在自体重建的皮瓣成形时忽略这些细节，可能会导致结果不佳。 3 维（3D）表面成像和打印技术的最新进展使得自体乳房重建的对称性得到了改善。虽然 3D 打印技术变得更快、更精确、更便宜，但获得适当的 3D 乳房图像所需的技术仍然昂贵，包括激光扫描仪或 3D 摄影测量相机。在这项研究中，我们提出了一种新颖的使用美容手术模拟器软件的方法，作为获得 3D 乳房图像和创建 3D 打印生物模型以辅助皮瓣精确成形的经济实惠的替代方法。这种方法旨在优化自体乳房重建的美学效果，避免手术修正并减少手术时间。 证据等级 IV：本杂志要求作者为每篇文章分配一个证据等级。有关这些循证医学评级的完整描述，请参考目录或在线作者指南 www.springer.com/00266 。
