Abstract: 3D Breast Imaging For Cosmetic Breast Surgery: Does 3D Imaging Improve Patient Reported Outcomes In Primary Breast Augmentation?

Methods: We performed a prospective, randomized cohort study of women ≥ 18 years desiring elective breast augmentation surgery. The study includes a non-randomized cohort of patients who chose to have standard evaluation and 3D simulation. IRB approval was obtained through Washington University in St. Louis/Barnes-Jewish Hospital. Our intended analysis is for 100 patients to be recruited into the randomized cohort. Patients with greater than grade II ptosis were excluded. A research coordinator performed randomization. Patients were assigned to the control group (pre-operative evaluation with standard simulation with sizers alone) or the intervention group (standard simulation and 3D imaging simulation). Blinding was not possible as 3D imaging simulation was done by the operating surgeon in preoperative consultation. Patients completed the Breast Q before surgery and at minimum 6 months follow up. Standard operating technique was used with subpectoral or dual plane breast implant placement. Breast Q scores were calculated and conventional statistical analyses were performed.