Background: The female breast is one of the most attractive
aesthetic areas in female anatomy. The size, shape, and
symmetry of the breasts can have a dramatic effect on the
women's well-being, poor self-esteem, altered self-image, and
other psychological effects. All surgical techniques was done
based in the presurgical marking. However it is of little value
if symmetry procedure will be done in other breast.
Material and Methods: We retrospectively reviewed 41
patients admitted to our multi-disciplinary team breast clinic
in Ain Shams University Hospital, between July 2015 and
September 2019. Patients' age ranged from 14 to 63 years.
Congenital and pathological breast asymmetries were included
e.g.: Chronic granulomatous mastitis, burns, and tumors of
the breast (benign and malignant masses). Physiological breast
asymmetry were excluded from the study.
Patients were operated upon using the modified SOS
marking technique and followed-up for a mean of 13.24
months post-operatively (range 3-30 months). All patients
were photographed before and after the surgery. Post-operative
photographs of these patients were examined by five plastic
surgeons (3 men and 2 woman). We compared both breasts
using a 5 point subscale consisting of volume, contour, placement
of the breast mound, scar and the inframammary fold
and all patients were asked to complete a satisfaction questionnaire
based on the Harvard scale.
Conclusion: It is a novel marking technique solved the
dilemma of changing the pre-operative plane according to the
intraoperative judgment and altering the amount of tissue to be
excised or reconstructed in patients suffering from congenital
and pathological breast asymmetry. It is technical easy to learn,
reliable with satisfactory aesthetic outcome especial in congenital
asymmetries, with acceptable complication rate.