Page 45 - Read Online

This classification system is applicable to all breast sizes. Financial support and sponsorship
It is based on the appearance of the cleavage and takes in Nil.
to account the width of the cleavage at the superior and
inferior poles of the breast, and the midpoint between them. Conflicts of interest
In women with smaller breasts the cleavage will be more There are no conflicts of interest.
pronounced, and different than that of women with fuller
breasts. However, the authors believe that even in women REFERENCES
with smaller breasts the shape of the cleavage should vary
according to our classification system. In this cohort of 1. Oliver R. I'll boost your boobs or go bust! Plastic Surgery 101, 2007.
patients the more prevalent classes would be the hour glass, Available from: http://plasticsurgery101.blogspot.com/2007_08_01_
and the hi-ball glass (anteroposterior view) and the margarita archive.html. [Last accessed on November 24, 2015]
glass, and the tumbler glass (craniocaudal view). Similarly 2. West's federal supplement (First Series). Victoria, Minnesota: West
for women with larger breasts one would expect to observe Publishing Co; 1990. p. 994.
cocktail glass and champagne glass (anteroposterior view) 3. Eisenberg T, Eisenberg J. The scoop on breasts: a plastic surgeon busts
the myths. 1st ed. Philadelphia: Incompra Press; 2012.
and cocktail and goblet glass (craniocaudal view). 4. Hsu VM, Tahiri Y, Wes AM, Yan C, Selber JC, Nelson JA, Kovach SJ, Serletti
JM, Wu LC. Does breast reconstruction impact the decision of patients to
Patient satisfaction after breast augmentation is variable and pursue cosmetic surgery? Ann Plast Surg 2014;73:S144-8.
some studies have reported that not all patients are satisfied 5. Gladfelter J, Murphy D. Breast augmentation motivations and satisfaction:
with their postoperative outcomes. [5,10,17] It depends on a prospective study of more than 3,000 silicone implantations. Plast Surg
multiple aspects of the appearance of the breasts including 6. Nurs 2008;28:170-4.
Gernsheim A. Victorian and Edwardian Fashion: A Photographic Survey
their shape, size, contours as well as the appearance of the (Dover Fashion and Costumes). New York: Dover Publications, 1982.
cleavage. Patients are unique and any given cleavage may 7. Morris D. The naked woman: a study of the female body. Reprint edition.
not necessarily fit one particular classification. However, New York: St. Martin's Griffin; 2007.
this classification based on various everyday shapes of 8. Spooner C. Fashioning gothic bodies. Manchester: Manchester University
glasses, can be used by surgeons to help patients acquire Press; 2004. p. 28.
an objective understanding regarding their expectations 9. Condra J. The greenwood encyclopedia of clothing through world history.
Westport, Connecticut: Greenwood Publishing Group; 2008. p. 152.
from surgery. Surgeons can use this classification system 10. McCarthy CM, Cano SJ, Klassen AF, Scott A, Van Laeken N, Lennox PA,
preoperatively to discuss the expectations of patients Cordeiro PG, Pusic AL. The magnitude of effect of cosmetic breast
regarding the appearance of their cleavage in addition to augmentation on patient satisfaction and health-related quality of life. Plast
their breasts. If patients desire a certain type of cleavage Reconstr Surg 2012;130:218-23.
after their augmentation the surgeon can modify their 11. Dini GM, Gozzano R, Ferreira RB, Faria M, Farinazzo M, Ferreira LM.
Mirror, mirror on the wall, which breast is bigger of them all. Plast Reconstr
choice of implants and their surgical technique accordingly. Surg Glob Open 2014;2:e105.
A breast augmentation procedure as well as the choice of 12. von Heimburg D, Exner K, Kruft S, Lemperle G. The tuberous breast
implant may then be altered, taking into consideration not deformity: classification and treatment. Br J Plast Surg 1996; 49:339-45.
only the desired increase or decrease in breast size but also 13. India M. Breasts - structures and types. Available from: http://www.
the desired modification of cleavage appearance. medindia.net/patients/patientinfo/breasts-structures-and-types-breast-
types.html. [Last accessed on November 24, 2015]
14. Room H. Classify your breast. Available from: http://www.herroom.com/
Though the proposed classification is based on personal breast-shape,336,30.html. [Last accessed on November 24, 2015]
observations and the nomenclature of glasses, we believe 15. Chasan PE. A new breast shape classification. Plast Surg Pract 2011.
that if used in conjunction with the existing practices 16. Kolker AR, Collins MS. Reply: tuberous breast deformity: classification and
of breast augmentation, it will result in an improved treatment strategy for improving consistency in aesthetic correction. Plast
aesthetically pleasing outcome leading to better patient Reconstr Surg 2015;136:e269-70.
satisfaction with the results of the augmentation. Our 17. Young VL, Nemecek JR, Nemecek DA. The efficacy of breast augmentation:
breast size increase, patient satisfaction, and psychological effects. Plast
proposed classification should be further explored by formal Reconstr Surg 1994;94:958-69.
studies that analyze both preoperative and postoperative 18. Galdino GM, Nahabedian M, Chiaramonte M, Geng JZ, Klatsky S, Manson
patient satisfaction. This analysis could be either a two- P. Clinical applications of three-dimensional photography in breast surgery.
dimensional e.g. using photographs or three-dimensional Plast Reconstr Surg 2002;110:58-70.
analysis [18,19] and lead to better understanding of role of 19. Kovacs L, Eder M, Hollweck R, Zimmermann A, Settles M, Schneider A,
preoperative and postoperative cleavage morphology in Udosic K, Schwenzer-Zimmerer K, Papadopulos NA, Biemer E. New
aspects of breast volume measurement using 3-dimensional surface
patient satisfaction. imaging. Ann Plast Surg 2006;57:602-10.

38 Plast Aesthet Res || Vol 3 || Issue 1 || Jan 15, 2016