Volumetric Mammogram Assessment: A Helpful Tool in the Treatment of Breast Asymmetries

Aesthetic Plast Surg. 2017 Dec;41(6):1261-1274. doi: 10.1007/s00266-017-0940-x. Epub 2017 Aug 4.


The surgical approach to breast asymmetry depends on several factors, including the surgeon's experience, the anatomy of the patient, and several methods that may help to choose a technique and define the size of the implant or the amount of breast tissue to be excised. The aim of this study is to assist in evaluation of breast volumes with the Quantra™ software application, intended for use with Hologic™ digital mammography systems. Twenty-eight women were studied with full-field digital mammography (FFDM) with the Quantra™ software application, for use with Hologic™ digital mammography systems preoperatively. The case diagnoses were as follows: breast hypertrophy, ptosis, hypoplasia, and reconstruction, and the surgeries included breast reduction, mastopexy, mastopexy and breast reduction, mastoplasty and breast augmentation, breast augmentation, and immediate or delayed breast reconstruction. Patients were evaluated from 6 to 18 months after surgery. Volumetric mammogram studies help to decide the amount of tissue to be excised, the size of the implants, and the combination of both. The results of this study were evaluated by surgeons and patients and found to be highly satisfactory. The use of full-field digital mammography with adequate software should be considered as another tool to assist in making decisions regarding the correction of breast asymmetries. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Keywords: Breast asymmetries; Breast augmentation; Breast reconstruction; Breast reduction; Digital mammography; Volumetric study.

MeSH terms

  • Adult
  • Age Factors
  • Argentina
  • Breast / abnormalities*
  • Breast / surgery*
  • Cohort Studies
  • Esthetics
  • Female
  • Humans
  • Mammaplasty / methods*
  • Middle Aged
  • Patient Satisfaction / statistics & numerical data*
  • Retrospective Studies
  • Risk Assessment
  • Treatment Outcome
  • Young Adult