Differences in Breast Shape Preferences between Plastic Surgeons and Patients Seeking Breast Augmentation

Yale University, New Haven, Connecticut, United States
Plastic &amp Reconstructive Surgery (Impact Factor: 2.99). 07/2003; 112(1):312-20; discussion 321-2. DOI: 10.1097/01.PRS.0000066365.12348.A7
Source: PubMed


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.

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    • "In this early attempt to extend research on the peak shift effect to cultural practices of beautification and the physical attractiveness of secondary sexual characteristics, computer generated images of women " s breasts in a semi-profile view were created using breast augmentation modeling software in " naturalistic " and " augmented " conditions that differed by " displacement " , a measure from, " the point of greatest concavity or convexity to a line drawn from the nipple to the superior base [of the chest wall] " (Hsia & Thomson, 2003). The naturalistic condition modeled symmetrical breasts with concave top contour lines and the augmented condition depicted " high profile " breast implants which created convex top contour lines. "
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    ABSTRACT: Men are attracted to the movements of women's bodies. The aim of this paper is to answer the question: what is the mechanism? The role of the peak shift effect in perceptions of physical attractiveness involving women's waist to hip ratios (WHRs) in biological motion is presented. Photographs of a coordinated motor pattern, walking, are investigated with a novel measurement method. Evidence is presented that the behavior pattern contains alternating left and right side, attractive (S+) and unattractive (S ), WHR stimuli. A WHR stimulus range is established that is sufficient to generate peak shift effects in perceptions of physical attractiveness. It is predicted that WHRs in attractive behavior patterns will be significantly lower than those previously found to be preferred using 0.70 WHR still images. Therefore WHRs in motion represent S++, or "supernormal stimuli", in behavior.
    Journal of Social 01/2009; 3(2). DOI:10.1037/h0099329
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    ABSTRACT: Background: With the recent introduction of improved techniques for plastic surgery of the breast and increased public awareness toward these procedures, plastic surgeons are continuously trying to improve their methods and results to reach perfection. Assessment of the breast volume is an important issue prior to the use of breast implants in any aesthetic or reconstructive breast surgery. Previous methods to measure breast volume have included use of a simple bra and breast cup size, cumbersome fluid displacement, appliances and approximate visual estimation. Objectives: In this work we have tried to develop an easy method for assessment of the breast volume for both the patient and the the surgeon through a simple mathematical formula. Materials and Methods: Fifty two volunteers were included in this study. For every one, general parameters including age, weight and height were recorded. Local breast measurements and water volume displacement were also recorded. Results: The collected data were statistically correlated. Using the analyzed data, the breast volume was calculated through a simple and direct formula on the basis of the breast circumference. Conclusion: Our method has, as its principle, the use of an accurate and simple formula, which is based only on one measurement. This is easy for both the patient and the plastic surgeon. This equation is not only a significant technical advantage for the surgeon, but also provides a universal standardization of the breast volume.
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