Wiegmann Aaron L, O'Neill Elizabeth S, Sinno Sammy, Gutowski Karol A
Aesthet Surg J Open Forum. 2024 Jan 30;6:ojae006. doi: 10.1093/asjof/ojae006. eCollection 2024.
A female's breasts are integrally tied to her identity and sense of femininity. Despite extensive study of breast aesthetics, there is no discrete formula for the "ideal breast" to guide the aesthetic surgeon. Racial and cultural differences heavily influence preferences in breast morphology. Artificial intelligence (AI) is ubiquitous in modern culture and may aid in further understanding ideal breast aesthetics.
This study analyzed AI-generated images of aesthetically ideal breasts, evaluated for morphologic differences based on race, and compared findings to the literature.
An openly accessible AI image-generator platform was used to generate images of aesthetically ideal Caucasian, African American, and Asian breasts in 3-quarter profile and frontal views using simple text prompts. Breast measurements were obtained and compared between each racial cohort and to that of previously described ideal breast parameters.
Twenty-five images were analyzed per racial cohort, per pose (150 total). Caucasian breasts were observed to fit nicely into previously described ideal breast templates. However, upper-to-lower pole ratios, nipple angles, upper pole slope contours, nipple-areolar complex positions, and areolar size were observed to have statistically significant differences between racial cohorts.
Defining the aesthetically ideal breast remains a complex and multifaceted challenge, requiring consideration of racial and cultural differences. The AI-generated breasts in this study were found to have significant differences between racial groups, support several previously described breast ideals, and provide insight into current and future ethical issues related to AI in aesthetic surgery.
女性的乳房与她的身份和女性气质紧密相连。尽管对乳房美学进行了广泛研究，但对于“理想乳房”并没有一个明确的公式来指导整形外科医生。种族和文化差异对乳房形态的偏好有很大影响。人工智能（AI）在现代文化中无处不在，可能有助于进一步理解理想的乳房美学。
本研究分析了人工智能生成的美学上理想的乳房图像，评估基于种族的形态差异，并将结果与文献进行比较。
使用一个公开可用的人工智能图像生成平台，通过简单的文本提示生成美学上理想的高加索人、非裔美国人和亚洲人的乳房的3/4侧视图和正视图图像。获取乳房测量数据，并在每个种族队列之间以及与先前描述的理想乳房参数进行比较。
每个种族队列、每个姿势分析25张图像（共150张）。观察到高加索人的乳房很好地符合先前描述的理想乳房模板。然而，观察到种族队列之间的上下极比率、乳头角度、上极斜率轮廓、乳头乳晕复合体位置和乳晕大小存在统计学上的显著差异。
定义美学上理想的乳房仍然是一个复杂且多方面的挑战，需要考虑种族和文化差异。本研究中人工智能生成的乳房在种族群体之间存在显著差异，支持了一些先前描述的乳房理想，并为美学手术中与人工智能相关的当前和未来伦理问题提供了见解。
