Article

Differences in breast shape preferences between plastic surgeons and patients seeking breast augmentation.

Section of Plastic Surgery, Yale University School of Medicine, New Haven, Conn 06520, USA.
Plastic &amp Reconstructive Surgery (Impact Factor: 3.54). 07/2003; 112(1):312-20; discussion 321-2. DOI: 10.1097/01.PRS.0000066365.12348.A7
Source: PubMed

ABSTRACT 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.

1 Bookmark
 · 
62 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: BACKGROUND: A successful outcome of elective aesthetic surgery should be preceded by clear criteria for patient selection. A solid patient-doctor bond and, ideally, a relationship where "empathy" is the key should be the goal before proceeding. We describe the usefulness of a new practical psychological triage system: the 5 Preoperative Key Points. METHODS: Six hundred fifty-five consultations for primary breast enlargement performed by the same doctor that culminated in surgical procedures were included. A graphic was used to classify patients, taking personal adaptation into consideration. RESULTS: The system's scores were organized into three groups: group A (32 %, n = 210), B (55 %, n = 360), and C (13 %, n = 85). Of a total of 655 nonconsecutive consultations, 646 (98.6 %) proceeded to the second consultation and its respective procedure. Only nine group C cases (1.3 % of total consultations and 10.5 % C group patients) were discouraged from undergoing the procedure. CONCLUSION: These 5 Preoperative Key Points proved to be simple, practical, and applicable to our daily practice. Applying a simple and practical psychological triage system shall prove beneficial not only for surgeons but for patients as well. LEVEL OF EVIDENCE V: 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 .
    Aesthetic Plastic Surgery 10/2012; · 1.26 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The authors previously identified key objective parameters that define the aesthetic ideal of the breast in a study of 100 models with natural breasts. In this follow-up article, the opinion of the general public on ideal breast proportions was surveyed.
    Plastic &amp Reconstructive Surgery 09/2014; 134(3):436-447. · 3.54 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: BACKGROUND: This study verifies selected opinions on breast cosmetic surgery in the population of Polish women. MATERIALS AND METHODS: A total of 78 women aged 20 to 48 years were surveyed between 2008 and 2010 before and after breast augmentation surgery using a questionnaire. The χ and Wilcoxon signed rank tests were used for statistical analysis. Most were married and single women aged approximately 30 years and residents of large cities. RESULTS: The significance of professional success in the hierarchy of values and the level of self-assessment increased after surgery (P = 0.0000 and 0.0213, respectively). The distribution of responses concerning the expectations of surgery and the evaluation of their fulfillment changed significantly (P = 0.0031). In general, the satisfaction with one's life after surgery also increased (P = 0.0000). CONCLUSIONS: A well-thought-out decision on breast cosmetic surgery positively affects at least several spheres of psychosocial functioning and fulfills most women's expectations.
    Annals of plastic surgery 03/2013; · 1.29 Impact Factor