• Korean Journal of Radiology
• /
• 제21권1호
• /
• pp.25-32
• /
• 2020

Objective: To comparatively evaluate the scan coverage and diagnostic performance of the two-view scan technique (2-VST) of the automated breast ultrasound system (ABUS) versus the conventional three-view scan technique (3-VST) in women with small breasts. Materials and Methods: Between March 2016 and May 2017, 136 asymptomatic women with small breasts (bra cup size A) suitable for 2-VST were enrolled. Subsequently, 272 breasts were subjected to bilateral whole-breast ultrasound examinations using ABUS and the hand-held ultrasound system (HHUS). During ABUS image acquisition, one breast was scanned with 2-VST, while the other breast was scanned with 3-VST. In each breast, the breast coverage and visibility of the HHUS detected lesions on ABUS were assessed. The sensitivity and specificity of ABUS were compared between 2-VST and 3-VST. Results: Among 136 breasts, eight cases of breast cancer were detected by 2-VST, and 10 cases of breast cancer were detected by 3-VST. The breast coverage was satisfactory in 94.1% and 91.9% of cases under 2-VST and 3-VST, respectively (p = 0.318). All HHUS-detected lesions were visible on the ABUS images regardless of the scan technique. The sensitivities and specificities were similar between 2-VST and 3-VST (100% [8/8] vs. 100% [10/10], and 97.7% [125/128] vs. 95.2% [120/126], respectively), with no significant difference (p > 0.05). Conclusion: 2-VST of ABUS achieved comparable scan coverage and diagnostic performance to that of conventional 3-VST in women with small breasts.

• 복식
• /
• 제64권4호
• /
• pp.106-117
• /
• 2014

The purpose of this study is to provide basic information for the development of well-fitting and comfortable brassieres for women in their 30s, based on the classification of breast shapes by utilizing 3D body measurement data of women in the age group. The result of processing the measurements from the 3D body scan data through RapidForm 2006 shows that while the vertical body measurements decrease, the horizontal measurements, which indicates the degree of obesity, increase proportionally with age. Also, the relevant measurements for upper breasts increase proportionally with age, while the measurements for lower part of the breasts decrease as the degree of sagging increases. Four composition factors of the breasts were identified through the factor analysis: Factor 1 is the level of volume in the breasts and the surrounding area; Factor 2 is the position of nipples and the shape of upper part of breasts; Factor 3 is the position and vertical length of the breasts; Factor 4 is the shape of lower part of breasts; and Factor 5 is the shape of inner part of breasts and degree of width between both breasts. The breasts have been categorized into three distinctive shapes: Breast Shape 1, Breast Shape 2 and Breast Shape 3. According to the results of the cluster analysis, the largest percentage (36.68%) of women in their 30s falls into the category of Breast Shape 2 with small volume and flat upper breasts, followed by Breast Shape 1 (32.66%) with large volume in the upper and lower parts of breasts, and large side to side area, and Breast Shape 3 (30.65%) with average volume and width between breasts.

• Archives of Plastic Surgery
• /
• 제39권5호
• /
• pp.489-496
• /
• 2012

Background In Korean women, many of whom have small to moderate-sized breasts, it is difficult to cover a partial breast defect using oncoplastic volume displacement techniques after removal of an adequate volume of tissue during oncologic surgery. In such cases, oncoplastic volume replacement techniques are more useful. Methods From January 2007 to December 2011, 104 women underwent a total of 107 breast-conserving surgeries with various kinds of oncoplastic volume replacement techniques. We used latissimus dorsi (LD) myocutaneous flap for cases in which the resection mass was greater than 150 g. In case with a resection mass less than 150 g, we used regional flaps such as a lateral thoracodorsal flap, a thoracoepigastric flap, or perforator flaps such as an intercostal artery perforator (ICAP) flap or a thoracodorsal artery perforator (TDAP) flap. Results The mean age was 46.1 years, and the average follow-up interval was 10.3 months. The patients underwent oncoplastic volume replacement techniques with a lateral thoracodorsal flap (n=9), thoracoepigastric flap (n=7), ICAP flap (n=25), TDAP flap (n=12), and LD flap (n=54). There was one case of congestion in an LD flap, and two cases of fat necrosis in an ICAP flap. Most of the patients were satisfied with the cosmetic results. Conclusions Oncoplastic volume replacement techniques can be reliable and useful for the correction of breast deformity after breast-conserving surgery, especially in patients with small to moderate-sized breasts.

• Archives of Plastic Surgery
• /
• 제44권5호
• /
• pp.413-419
• /
• 2017

Background In breast reconstruction using implants after unilateral mastectomy, it is challenging to create a natural, ptotic contour, and asymmetry is a potential drawback. To achieve breast symmetry and an ideal shape for both breasts, we performed contralateral augmentation in patients undergoing breast reconstruction with implants. Methods Patients underwent unilateral mastectomy and 2-stage reconstruction. During the second stage of the procedure, contralateral augmentation mammoplasty was performed. Preoperatively, we obtained the patients' demographic information, and we then assessed breast volume, the volume and dimensions of the inserted implants, and complications. Breast symmetry was observed by the surgeon and was assessed by measuring the disparity between the final volume of each breast. Results Contralateral augmentation was performed in 52 cases. When compared to patients who did not undergo a contralateral balancing procedure, patients who received contralateral augmentation were younger, thinner, and had smaller breasts. During implant selection for contralateral augmentation, we chose implants that were approximately 1 cm shorter in width, 1 level lower in height, and 1 or 2 levels lower in projection than the implants used for reconstruction. The postoperative breast contours were symmetric and the final volume discrepancy between each breast, which was measured by 3-dimensional scanning, was acceptable. Conclusions We demonstrate that contralateral augmentation can be recommended for patients who perceive their breasts to be small and not beautiful in order to achieve an ideal and beautiful shape for both breasts. Furthermore, this study offers guidelines for selecting the implant that will lead to the optimal aesthetic outcome.

• Archives of Plastic Surgery
• /
• 제41권5호
• /
• pp.520-528
• /
• 2014

Background As the breast cancer incidence has increased, breast-conserving surgery has replaced total mastectomy as the predominant procedure. However, centrally located breast cancers pose significant challenges to successful breast-conserving surgeries. Therefore, we performed partial mastectomy and oncoplastic procedures on centrally located breast cancer as a means of partial breast reconstruction. The authors examined and evaluated the functional and aesthetic usefulness of this reconstruction method. Methods From January 2007 to June 2011, 35 patients with centrally located breast cancers who underwent various oncoplastic procedures based on the breast size and resection volume. The oncoplastic procedures performed included volume displacement surgical techniques such as purse-string suture, linear suture, and reduction mammaplasty. Other oncoplastic procedures included volume replacement procedures with an adipofascial, thoracoepigastric, intercostal artery perforator, thoracodorsal artery perforator, or latissimus dorsi flap. Results Mean patient age was 49 years, and mean follow-up period was 11 months. In cases of small to moderate-sized breasts and resection volumes <50 g, volume displacement procedures were performed. In cases of resection volumes >50 g, volume replacement procedures were performed. In cases of larger breasts and smaller resection volumes, glandular reshaping was performed. Finally, in cases of larger breasts and larger resection volumes, reduction mammaplasty was performed. This reconstruction method also elicits a high patient satisfaction rate with no significant complications. Conclusions In centrally located breast cancer, oncoplastic surgery considering breast size and resection volume is safe and provides appropriate aesthetic outcomes. Therefore, our method is advisable for breast cancer patients who elect to conserve their breasts and retain a natural breast shape.

• 복식문화연구
• /
• 제8권2호
• /
• pp.282-292
• /
• 2000

The purpose of this study is to provide for some basic data useful to the development of the brassieres comfortable and more suitable for obese women. The results of this study can be summarized as follows ; 1. Obese women were categorized using Rohrer index into three groups, and thereupon, their breast forms were analyzed. As a result, it was found that group 1 and 2 had similar small breasts, while group 3 had the largest size of breasts. 2. The forms of obese women's breast split, protrusion and volume, factors related with breast area and drooping, factor affecting the breast protrusion and factor defining the lower form of breast. 3. The actual breast types of obese women could be classified into cone type, protrusion type, drooping type Ⅰ and Ⅱ. The more obese a woman was, her breast tended more to droop.

• 한국의류산업학회지
• /
• 제17권6호
• /
• pp.988-995
• /
• 2015

Gaps between the upper edges of brassiere mold cups and the breasts are one of the most serious issues in realizing comfort wearing of commercial brassieres for small-breasted women. The surplus ease amounts causing the fit problem were measured from 3D wearing images of the small-breasted women's brassieres. The effect after the removing the surplus ease amounts from the upper edge of mold cup was approved by subjective wearing evaluation. Since the volume distribution of mold cup can also affect the wearing sensation of brassiere, the subjective wearing sensation was compared for two brassieres of different volume distributions, V_L, of which volume was concentrated at the lower cup, and V_C, which has the thickest part at the nipple. As the results, the suitable sensation for cup volume and the natural wearing silhouette could be accomplished by removing the surplus ease amounts from the upper edge of mold cup to reduce the gaps between brassieres and the breasts, which could be accomplished through an approach reducing the volume near the upper edge of mold brassiere cup and making the volume concentrated at the lower cup. These works provide a useful information on the design of the brassiere mold cups for small-breasted women. Moreover, modeling methods of 3D scan data and 3D printing technique for making more accurate mold cases used in this research can be helpful to develop and evaluate clothing products in future.

• Archives of Plastic Surgery
• /
• 제46권5호
• /
• pp.433-440
• /
• 2019

Background Mastectomy in male transgender patients is an important (and often the first) step toward physical manhood. At our department, mastectomies in transgender patients have been performed for several decades. Methods Recorded data were collected and analyzed for all male transgender patients undergoing mastectomy over a period of 24 years at our department. Results In total, 268 gender-reassigning mastectomies were performed. Several different mastectomy techniques (areolar incision, n=172; sub-mammary incision, n=96) were used according to patients' habitus and breast features. Corresponding to algorithms presented in the current literature, certain breast qualities were matched with a particular mastectomy technique. Overall, small breasts with marginal ptosis and good skin elasticity allowed small areolar incisions as a method of access for glandular removal. In contrast, large breasts and those with heavy ptosis or poor skin elasticity often required larger incisions for breast amputation. The secondary correction rate (38%) was high for gender reassignment mastectomy, as is also reflected by data in the current literature. Secondary correction frequently involved revision of chest wall recontouring, suggesting inadequate removal of the mammary tissue, as well as scar revision, which may reflect intense traction during wound healing (36%). Secondary corrections were performed more often after using small areolar incision techniques (48%) than after using large sub-mammary incisions (21%). Conclusions Choosing the suitable mastectomy technique for each patient requires careful individual evaluation of breast features such as size, degree of ptosis, and skin elasticity in order to maximize patient satisfaction and minimize secondary revisions.

• Archives of Plastic Surgery
• /
• 제34권5호
• /
• pp.622-627
• /
• 2007

Purpose: Although the autogenous tissue transfer has been the mainstay of the breast reconstruction, concern for the donor site morbidity can lead to the superseded method using tissue expander with implant or permanent expander-implant. However, the additional procedure of tissue expansion possibly cause discomfort and raise the cost. We tried to verify the efficacy of using the saline-filled breast implant by itself for the safe and convenient immediate breast reconstruction modality if the patients have small, round and non-ptotic breasts and the sufficient breast skin can be saved with mastectomy. Methods: From July 2002 to July 2005, 29 breasts of 26 patients were restored only with the saline-filled breast implant immediately after the skin sparing or nipple-areolar skin sparing mastectomy in Asan Medical Center. A pocket with pectoralis major and serratus anterior muscle was created and the implant was covered with this muscle pocket. Simultaneous contralateral augmentation was performed in patients whose mastectomy specimen weighed less than 100g. Results: Using only the saline-filled breast implant resulted in the successful reconstruction with few complications including partial necrosis of nipple areolar skin (five cases, 17.2%), capsular contracture (three cases, 10.3%), hematoma (one case, 3.4%), depigmentation of areolar skin (one case, 3.4%), hypertrophic scar (one case, 3.4%), which were all healed by conservative management. There were no significant complications such as implant exposure and subsequent removal. Conclusion: Immediate breast reconstruction only with the saline-filled breast implant can be a satisfactory alternative option for the patients whose breast is small, round and non-ptotic, especially when the nipple-areolar skin of the breast is preserved in the mastectomy.

• 한국의류학회지
• /
• 제34권2호
• /
• pp.303-317
• /
• 2010

This study helps in the production of brassieres suitable for female adults by researching the actual wearing conditions and purchasing status, satisfaction rate, and preferences of female college students in their early 20's. The collected data was analyzed by a SPSSWIN 13.0 Program and the results of the research are as follows. 1. There is a noticeable difference between the breast satisfaction rate and breast size, in addition the satisfactory rate was higher in the normal breast size or a little ample size than in the very small or very big size. According to the shape, the satisfactory rate for the breast appeared to be high in the case of the recognition and evaluation of the hemisphere type than the flat, cone, pop out, and downward type. 2. For fitness, the looseness at the top of the cup (pressed between the breasts at the upper part of the front middle), pressing and looseness at the upper sides of the cup, inappropriate size of the cup, tightness of the wings, tightness at the bottom round of the breasts, the narrow width of the wire, wide space of the shoulder strings, and the sliding of the shoulder strings had problems that needed improvement. 3. The major priorities for purchasing brassieres are size, fitness, and aesthetic qualities. As a result, the size and the fitness are more important than the trend or decorations since the brassiere has the function to support the breasts that shows that hygiene and sanitation are recognized as an important standard for undergarment selection. The size and the fitness are important factors regardless of breast types in the examination of the selection standards of the brassieres for each breast type, but the cone and hemisphere types have higher preferences for design; the pop out type has more considerations for the material of the cloth. The result show that appearance is more important for smaller breasts, but the functionality of the brassier is more important than the appearance for medium and larger breast sizes.