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Patient Satisfaction with 3D Simulation for Breast Augmentation: Exploring the Gap between Expectations and Reality

This study examines the satisfaction of patients with 3D image simulation for breast augmentation. Results show that patients reported higher dissatisfaction after surgery despite receiving information about the limitations of 3D simulations. The study suggests discussing these limitations with patients before surgery.

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Patient Satisfaction with 3D Simulation for Breast Augmentation: Exploring the Gap between Expectations and Reality

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  1. Norma I. Cruz, MD Breast Augmentation: Patient Satisfaction with 3D Simulation of surgical outcome • Division of Plastic Surgery University of Puerto Rico Nothing to disclose

  2. Use of 3D simulation Currently 3D image simulation is used during the preoperative consultation as a tool to help patients visualize the results of surgical procedures such as breast augmentation.

  3. Clinical Question • Are patients satisfied with the information provided by 3D image simulation after having seen the actual results of surgery?

  4. Study Design This prospective, randomized study compared patient satisfaction with information provided during the preoperative consultation for breast augmentation. • Control Group: Photos of average results shown to patients • Study Group: 3D simulations of possible results shown to the patients Control Group Study Group n=40 n=36 In our study we used the Crisalix 3D system

  5. 1 2 3 4 Method Three months following surgery a self-administered questionnaire was given to the patients to evaluate their satisfaction with the information provided during the preoperative evaluation. VerySatisfied Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied

  6. Method: Basic Demographic Information • Age • Weight • Height • Breast implant size Body mass index (BMI) was calculated from the patient’s weight and height

  7. Results No statistically significant difference between the groups (p>0.05)

  8. 3D simulation vs. actual result Results After having had their surgery, patients reported a significantly higher dissatisfaction with the information provided by 3D simulation, in spite of having received information regarding the limitations of 3D simulations

  9. Results Post-Op Pre-Op 3D Simulation Right Implant:400cc, Left Implant:375cc • Pre-Op • Post-Op • 3D Simulation Right Implant:340cc, Left Implant:325cc The perfect round contour produced by the simulation is inaccurate and misleading, since tissues respond in different ways to placement of implants

  10. Conclusion 3D simulation vs. actual result After having had their surgery, patients reported a higher percentage of dissatisfaction (25%) with the information provided by 3D simulation. The limitations of such imaging programs should be well discussed with patients prior to surgery.

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