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Hafiz Muhammad Umar Bashir Hashmi, Dr. Ahmad Hassan, Dr. Hala Hashmi


Background: The dual plan strategy has generally applied in growth mammaplasty strategies. In any case, there are some concerns about maintaining the elegant shape long after the muscle discharge. This examination expects to track and break down the dynamic morphological changes of the breast after double-plane breast enlargement through a three-dimensional filtering strategy. Methods: Fourteen patients with double-plane anatomical growth were subjected to a three-dimensional pre-operative (pre-OP) and post-operative examination in four stages (several months: post-1M, 4 months: post-3M, 7 months: post-6M and 11 months: post-11M). Our current research was conducted at Bach Mai Hospital, Hanoi from May 2018 to April 2019. The direct separation, breast projection, areola position, breast volume also breast surface area remained estimated and decomposed on 3D models after a certain time. Results: Associated to the post-11M period, no critical contrast was found in the midline areola to midline separation, areola to inframammary fold separation, and sternal score at degree of inframammary overlap after 5 months, both in the straight line separation and in its forecast on the surface. The separations between the sternal indentation and areola were not noticeable after the first month. Changes in breast volume were not noticeably distinct after the post-3M period. The volume and level of territory of the upper pole reduced whereas lesser pole widened stepwise. The surface showed no critical changes after WWI. Nor were the increases in projection of the chest essential after the First World War. The areola moved 1.060.6 cm horizontally (hub X), 0.663.8 cm upward (hub Y) and 3.366.2 cm forward (pivot Z) after 1M, and the distinctions were not noticeable after 11M. Conclusion: The 3D filtering method offers an objective and successful method to assess morphological variations in the breast afterwards increased mammaplasty after a certain period of time. The double-plane expansion advances the shape of the breast, especially in the lower part of the stem, and helps to maintain a stable and elegant result during the 11 months of development. The vast majority of the shape changes and the adjustment of the embedding with the embedding were done 7 months after the activity. In this way, a period of 6 months can be considered a moderately stable observation period in the evaluation of the postoperatively results of the double-plane breast augmentation.

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