Presentation on theme: "Background Color Black background & tan Caucasian female Blue green background & pale Caucasian female."— Presentation transcript:
Background Color Black background & tan Caucasian female Blue green background & pale Caucasian female
Breast Landmarks Black arrow: sternal notch Blue arrow: midclavicular line Purple arrow: take off of breast from chest wall (better seen with lateral view) Green arrow: infra-mammary fold at meridian. Orange arrow: midline of chest wall.
Breast Landmarks For each side, I measure: SN - N: sternal notch to nipple MC - TO: midclavicular line to take off TO - N: “take off” to nipple M - N: midline to nipple IMF - N: infra-mammary fold at meridian to nipple L – N: lateral to nipple (better seen in a lateral or an oblique view)
Normal Measurements Yellow arrow: lateral most landmark of breast
Glandular-ptosis & Asymmetry Note: 1.White lines indicate asymmetry of breast contours. Lower contours are almost “boxy” in shape 2.Blue lines show exaggerated anterior axillary contours.
Glandular-ptosis & Asymmetry Note: 1.Yellow line indicates level of IMF. 1.A major part of the breast,, is below the yellow line. 2.Nipple is above the line 2.Blue line indicates lateral most extent of her breast. 3.White arrow indicates the take off of the breast from the chest wall.
Glandular-ptosis & Asymmetry Preop right lateral
Grade 2 Ptosis Note: 1.Good overall symmetry 1.Nipples equidistant and almost level 2.Lower contour of breast symmetrical 3.Outer upper curves of breast slightly exaggerated 2.She still needs a mastopexy (breast lift)
Grade 2 Ptosis Preop right lateral Note: can’t see lateral most border of breast. Nipple below IMF (yellow line) but above most dependent part of breast.
Grade 3 Ptosis Note: 1.Nipple is virtually the lowest point of the breast relative to the IMF (red line) 2.Level of TO (red arrow) gets farther away from the MC (yellow arrow) as breast sizes get into the very large range