Abstract
ObjectivesThe current study aims to summarize breast anthropomorphic measurement features in Chinese patients with breast diseases and to investigate their potential correlations with demographic factors.Materials and methodsFifteen breast anthropomorphic parameters of 605 Chinese female patients were collected prospectively. Breast ptosis status was scaled by two methods and breast volume was calculated according to a modified formula of BREAST-V.ResultsAmong 1210 breasts, the average breast volume was 340.0±109.1 ml (91.8–919.2 ml). The distance from the nipple to the inframammary fold was 7.5±1.6 cm in the standing position. The width of the breast base was 14.3±1.4 cm (8.5–23.5 cm). The incidence of breast ptosis was 22.8% (274/1204), of which 37 (23.5%) and 79 (31.7%) women had severe ptosis assessed by different criteria. Increased height (OR[odds ratio] = 1.500, P<0.001), post-menopausal status (OR = 1.463, P = 0.02), increased BMI, breastfeeding for 7–12 months (OR = 1.882, P = 0.008) and more than one year (OR = 2.367, P = 0.001) were risk factors for an increased breast volume. Post-menopausal status (OR = 2.390, P<0.001 and OR = 2.621, P<0.001 for different scales), BMI≥24.7 kg/m2 (OR = 3.149, P<0.001 and OR = 2.495, P = 0.002), breastfeeding for 7–12 months (OR = 4.136, P = 0.004 and OR = 4.010, P = 0.002), and breastfeeding for more than one year (OR = 6.934, P<0.001 and OR = 6.707, P<0.001) were independent risk factors for breast ptosis.ConclusionsThe current study provides anthropomorphic measurements data of Chinese women with breast diseases, which are useful for cosmetic and reconstructive breast surgery decisions. Post-menopausal status, increased BMI, and breastfeeding for more than six months were independent risk factors for both increased breast volume and breast ptosis.
Highlights
Preoperative assessment of breast features is indispensable for both cosmetic and reconstructive breast surgical procedures[1]
The incidence of breast ptosis was 22.8% (274/1204), of which 37 (23.5%) and 79 (31.7%) women had severe ptosis assessed by different criteria
The current study provides anthropomorphic measurements data of Chinese women with breast diseases, which are useful for cosmetic and reconstructive breast surgery decisions
Summary
Preoperative assessment of breast features is indispensable for both cosmetic and reconstructive breast surgical procedures[1]. Regarding reconstructive surgery, which is increasingly desired by patients with breast cancer after mastectomy, an accurate determination of breast volume is a necessity to achieve bilateral symmetry[3]. Additional plastic surgery on the contralateral side can help to achieve an aesthetically balanced profile with the guidance of breast measurement data[4]. Reports of Asian breast features are available, most of them were conducted in young women or patients undergoing plastic surgery and, are not applicable to patients treated with mastectomy[6]. The lack of correlative studies has resulted in an urgent need for databases with information that is pertinent to Asian breast cancer patients
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