Real Time Ultrasound Assisted Gluteal Fat Grafting

Background: Outcomes in primary breast augmentation depend on careful preoperative planning and clear communication between patient and surgeon. Three-dimensional imaging with computer simulation is an evolving technology with the potential to enhance the preoperative consultation for patients considering primary breast augmentation. The purpose of this study was to prospectively evaluate the impact of three-dimensional imaging with computer simulation on patient-reported and objective, mammometric outcomes in women undergoing primary breast augmentation. Methods: One hundred patients were enrolled in a prospective trial with randomized and non-randomized arms. The randomized arm was comprised of a control group who underwent tissue-based planning without simulation (n=13) and an intervention group who were simulated (n=10). The remainder comprised the non-randomized group who specifically sought preoperative simulation. Patient-reported outcomes (BREAST-Q) and mammometric data were recorded and compared preoperatively and six months postoperatively. Results: Over time significantly more patients refused randomization and chose simulation (p=0.03). Breast augmentation led to substantial improvements in satisfaction with breasts, sexual well-being, and outcome. Simulation, however, did not significantly impact patient-reported outcomes or mammometric parameters. No strong correlations were identified between patient reported outcomes and mammometrics. Conclusions: Patients are likely to use novel technology like three-dimensional photography with computer simulation if they perceive it to enhance their understanding of their final outcome. These patients may seek out practices specifically offering such technology. Incorporation of simulation into the preoperative consultation, however, did not lead to clinically meaningful changes in patient-reported outcomes. This study was presented at the panel "Buttock augmentation: Optimization of Long term results and mortality risks" at Plastic Surgery The meeting 2017, in Orlando, Florida on October 9, 2017. Disclosure: The authors declare no conflicts of interests with respect to the authorship and/or publication of this manuscript. Funding: The authors received no financial support for the research and/or authorship of this manuscript. Corresponding author: Alvaro Luiz Cansancao , Avenida das Americas 3200, sala 212, Rio de Janeiro, RJ, Brazil, Zip 22640-102, email: dr.alvaroluiz@hotmail.com, Tel: 55(21)993339392 ©2018American Society of Plastic Surgeons

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