Sandberg Lars Johan, Tønseth Kim A, Kloster-Jensen Kristine, Liu Jun, Robe Charee, Reece Gregory, Hansen Elisabeth H, Berntsen Karin, Halle Martin, Edsander-Nord Åsa, Höckerstedt Anna, Kauhanen Susanna, Sneistrup Christian, Tindholdt Tyge, Petter Gullestad Hans, Gunnarsson Gudjon Leifur, Berg Erik, Selber Jesse Creed
Department of Plastic Surgery, Oslo University Hospital, Oslo Norway; Telmark Healthcare Trust, Skien, Norway.
Department of Plastic Surgery, Oslo University Hospital, Oslo, Norway.
Plast Reconstr Surg Glob Open. 2020 Apr 11;8(10):e3173. doi: 10.1097/GOX.0000000000003173. eCollection 2020 Oct.
There is little consensus about the relative determinative value of each individual factor in female breast aesthetics. When performing breast surgery with an aesthetic goal, certain factors will be more important than others. The purpose of this study was to make an aesthetic factor rank list to determine the relative contributions to overall breast aesthetics.
Volunteers were scanned using the 3-dimensional Vectra system. Ten Scandinavian plastic surgeons rated 37 subjects, using a validated scoring system with 49 scoring items. The correlation between specific aesthetic factors and overall breast aesthetic scores of the subjects were calculated using Pearson's r, Spearman's ρ, and Kendall's τ.
A very strong correlation was found between overall breast aesthetic score and lower pole shape (0.876, < 0.0001). This was also true for upper pole shape (0.826, < 0.0001) and breast height (0.821, < 0.0001). A strong correlation was found between overall breast aesthetic score and nipple position (0.733, < 0.0001), breast size (0.644, < 0.0001), and breast width (0.632, < 0.0001). Factors that were only moderately correlated with aesthetic score were intermammary distance (0.496, = 0.002), nipple size and projection (0.588, < 0.0001), areolar diameter (0.484, < 0.0001), and areolar shape (0.403, < 0.0001). Perceived symmetry was a weak factor (0.363, = 0.027).
Aesthetic factors of the female breast can be ranked in a priority list. Shape of the lower pole and upper pole and breast height are primary factors of female breast aesthetics. These should be prioritized in any aesthetic breast surgery. Vertical dimensional factors seem to be more determinative than horizontal factors.
对于女性乳房美学中各个因素的相对决定价值，人们几乎没有达成共识。在进行以美学为目标的乳房手术时，某些因素会比其他因素更为重要。本研究的目的是制作一份美学因素排名清单，以确定各因素对整体乳房美学的相对贡献。
使用三维Vectra系统对志愿者进行扫描。十位斯堪的纳维亚整形医生采用具有49个评分项目的经过验证的评分系统，对37名受试者进行评分。使用Pearson相关系数r、Spearman等级相关系数ρ和Kendall秩相关系数τ计算特定美学因素与受试者整体乳房美学评分之间的相关性。
发现整体乳房美学评分与下极形状之间存在非常强的相关性（0.876，P<0.0001）。上极形状（0.826，P<0.0001）和乳房高度（0.821，P<0.0001）也是如此。整体乳房美学评分与乳头位置（0.733，P<0.0001）、乳房大小（0.644，P<0.0001）和乳房宽度（0.632，P<0.0001）之间存在强相关性。与美学评分仅呈中度相关的因素有胸骨间距离（0.496，P = 0.002）、乳头大小和突出度（0.588，P<0.0001）、乳晕直径（0.484，P<0.0001）和乳晕形状（0.403，P<0.0001）。感知对称性是一个较弱的因素（0.363，P = 0.027）。
女性乳房的美学因素可以按优先顺序排列。下极和上极的形状以及乳房高度是女性乳房美学的主要因素。在任何美学乳房手术中都应优先考虑这些因素。垂直维度因素似乎比水平因素更具决定性。
