Publication:
How Useful Is the SSN-Nipple Distance? An Analytical Questionnaire Survey on Anthropometric Measurements for the Aesthetically Ideal Positioning of the Nipple-Areolar Complex.

cris.virtualsource.author-orcidc6429db2-cd9e-4ecb-80ea-80bba81faeca
datacite.rightsopen.access
dc.contributor.authorLoucas, Rafael
dc.contributor.authorLoucas, Marios
dc.contributor.authorLeitsch, Sebastian
dc.contributor.authorMayer, Julius Michael
dc.contributor.authorAlberti, Andrea
dc.contributor.authorHaroon, Omar
dc.contributor.authorPetrus, Marlon
dc.contributor.authorKoban, Konstantin Christoph
dc.contributor.authorHolzbach, Thomas
dc.date.accessioned2024-10-25T16:17:09Z
dc.date.available2024-10-25T16:17:09Z
dc.date.issued2023-03-25
dc.description.abstractSeveral studies have attempted to identify the optimal anthropometric measurement for the aesthetically ideal positioning of the nipple-areolar complex. However, no standardised solutions and measurements for planning surgical procedures have been reached. The aim of this study is to identify the optimal anthropometric measurement between the suprasternal notch (SSN)-nipple distance and mid-clavicle (MC)-nipple distance for the aesthetic position of the nipple-areola complex (NAC) on the breast. A detailed online survey was sent to 300 board-certified plastic surgeons and residents of plastic surgery departments of hospitals in German, Austrian, and Swiss. A similar survey was also provided to 100 patients who had planned or had already undergone breast surgery. All participants were asked to rank the attractiveness of a series of women's breasts in images with different NAC position measurements. The images showed breasts from two different measurements and distances: all the breasts had equal dimensions and proportions and the same areola size. Complete datasets were obtained from 203 of the 300 board-certified plastic surgeons and residents of plastic surgery departments in German-speaking countries (recall 68%) and from 100 patients. The majority of doctors and patients find a symmetrical breast with a mirrored position of the nipple-areola complex more attractive than a non-symmetrical breast. In cases with minor measurement differences, such as 0.5 cm (SSN vs. MC), there is no relevant difference in the breast symmetry. However, at larger distances, the MC-to-nipple distance is superior for achieving aesthetically appealing symmetry compared with the SSN-to-nipple distance. Using the MC-to-nipple distance seems to be superior for correct nipple positioning than the SSN-to-nipple distance and is a valuable preoperative measurement option for breast symmetry with correct nipple height. Further studies on this topic involving a more general population should be conducted to confirm the improvements in perception with the preoperative measurements using the anatomical landmarks.
dc.description.sponsorshipUniversitätsklinik für Plastische- und Handchirurgie
dc.identifier.doi10.48350/181706
dc.identifier.pmid37048578
dc.identifier.publisherDOI10.3390/jcm12072494
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/166445
dc.language.isoen
dc.publisherMDPI
dc.relation.ispartofJournal of clinical medicine
dc.relation.issn2077-0383
dc.relation.organizationDCD5A442C1F5E17DE0405C82790C4DE2
dc.subjectaesthetic breast breast mid-clavicle-to-nipple distance nipple nipple–areolar complex suprasternal-notch-to-nipple distance survey symmetry
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.titleHow Useful Is the SSN-Nipple Distance? An Analytical Questionnaire Survey on Anthropometric Measurements for the Aesthetically Ideal Positioning of the Nipple-Areolar Complex.
dc.typearticle
dspace.entity.typePublication
dspace.file.typetext
oaire.citation.issue7
oaire.citation.volume12
oairecerif.author.affiliationUniversitätsklinik für Plastische- und Handchirurgie
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unibe.date.licenseChanged2023-04-14 08:27:36
unibe.description.ispublishedpub
unibe.eprints.legacyId181706
unibe.refereedtrue
unibe.subtype.articlejournal

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