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Background Color - PowerPoint PPT Presentation

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Background Color. Blue green background & pale Caucasian female. Black background & tan 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)

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Presentation Transcript
background color
Background Color

Blue green background & pale Caucasian female

Black background & tan Caucasian female

breast landmarks
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 landmarks3
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
Normal Measurements

Yellow arrow: lateral most landmark of breast

glandular ptosis asymmetry
Glandular-ptosis & Asymmetry
  • Note:
  • White lines indicate asymmetry of breast contours. Lower contours are almost “boxy” in shape
  • Blue lines show exaggerated anterior axillary contours.

Glandular-ptosis & Asymmetry

  • Note:
  • Yellow line indicates level of IMF.
    • A major part of the breast,, is below the yellow line.
    • Nipple is above the line
  • Blue line indicates lateral most extent of her breast.
  • White arrow indicates the take off of the breast from the chest wall.

Glandular-ptosis & Asymmetry

Preop right lateral


Grade 2 Ptosis

  • Note:
  • Good overall symmetry
    • Nipples equidistant and almost level
    • Lower contour of breast symmetrical
    • Outer upper curves of breast slightly exaggerated
  • 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
Grade 3 Ptosis
  • Note:
  • Nipple is virtually the lowest point of the breast relative to the IMF (red line)
  • Level of TO (red arrow) gets farther away from the MC (yellow arrow) as breast sizes get into the very large range