The Role of 3-dimensional Imaging and Telemedicine in Breast Augmentation Consultations: A Prospective Cohort Study of 1153 Cases and a Randomized Controlled Trial in Thailand

Abstract

Background: This study evaluated the effectiveness of 3-dimensional (3D) imaging-based telemedicine consultations compared with traditional face-to-face consultations, focusing on patient satisfaction, decision-making, and the potential applications of 3D imaging data. The introduction of 3D imaging technology offers new opportunities for detailed analysis of breast anatomy, providing insights previously unavailable to surgeons. Methods: A prospective cohort study was conducted to analyze the correlation among breast anatomy, implant dimensions, parity status, and surgical procedures using data from 3D surface imaging. Additionally, a randomized controlled trial was performed to investigate the efficacy and patient satisfaction of 3D imaging combined with telemedicine in preoperative consultations. Results: A total of 1153 patients were included in the cohort study, revealing significant correlations among parity status, the addition of mastopexy to breast augmentation, and implant selection. The average time to revision in secondary augmentation procedures was 5.2 ± 3.45 years. In the randomized controlled trial, 120 patients were enrolled, with 60 in the 3D telemedicine group and 60 in the conventional face-to-face consultation group. The 3D telemedicine group demonstrated significantly shorter face-to-face consultation times (10.14 ± 2.23 versus 22.43 ± 5.45 min) and higher patient satisfaction scores compared with the conventional group. Conclusions: Three-dimensional surface imaging technology provides comprehensive breast parameter assessments, including breast volume, width, and projection, enabling enhanced preoperative planning and individualized implant selection. When combined with telemedicine, this technology significantly reduces face-to-face consultation time while improving patient satisfaction, making it a valuable tool in modern breast augmentation practice.