Evidence map›Paper›PMID 34712540›Full record

ArticlePlastic and reconstructive surgery. Global open2021

Beyond the 21-cm Notch-to-nipple Myth: Golden Proportions in Breast Aesthetics.

Lars Johan Sandberg, Kim Alexander Tønseth, Kristine Kloster-Jensen, Jun Liu, Gregory Reece, Martin Halle, Åsa Edsander-Nord, Anna Höckerstedt, Susanna Kauhanen, Tyge Tind Tindholdt and 2 more

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Lars Johan SandbergDepartment of Plastic Surgery Oslo University Hospital, University of Oslo Norway, Oslo, Norway.
Kim Alexander TønsethDepartment of Plastic Surgery Oslo University Hospital, University of Oslo Norway, Oslo, Norway.
Kristine Kloster-JensenDepartment of Plastic Surgery Oslo University Hospital, University of Oslo Norway, Oslo, Norway.
Jun LiuDepartment of Plastic Surgery University of Texas, MD Anderson Cancer Center, Houston Tex.
Gregory ReeceDepartment of Plastic Surgery University of Texas, MD Anderson Cancer Center, Houston Tex.
Martin HalleKarolinska University Hospital, Stockholm, Sweden.
Åsa Edsander-NordKarolinska University Hospital, Stockholm, Sweden.
Anna HöckerstedtUniversity of Helsinki, Helsinki, Finland.
Susanna KauhanenUniversity of Helsinki, Helsinki, Finland.
Tyge Tind TindholdtAleris Healthcare, Malmö, Sweden.
Gudjon Leifur GunnarssonDepartment of Plastic Surgery Sørlandet Hospital Trust, Arendal, Norway.
Jesse Creed SelberDepartment of Plastic Surgery University of Texas, MD Anderson Cancer Center, Houston Tex.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 21-cm notch-to-nipple distance has been accepted without academic scrutiny as a key measure in breast aesthetics. The Fibonacci sequence and phi ratio occur frequently in nature. They have previously been used to assess aesthetics of the face, but not the breast. This study aims to assess if the static 21-cm measure or the proportional phi ratio is associated with ideal breast aesthetics.

methodSubclavicular-breast height and breast width were used to calculate the aesthetic ratio. Subjects were subsequently aesthetically rated. A one-sample t-test was used to determine if the ratio for each breast differed from phi. Breast scores with one, both, or no breasts were compared with an optimal phi ratio. Analysis of variance was performed. Tukey-Kramer adjustment for multiple comparisons was used when pairwise comparisons were conducted.

resultsFive subjects (14%) had bilateral optimal phi ratio breasts. Four subjects (11%) had one breast with an optimal phi ratio. Subjects with bilateral optimal phi ratios had significantly higher overall breast scores than those with only one optimal breast (Δ = 0.86,

conclusionThe bilateral optimal phi ratio is correlated with high overall aesthetic scores, as is the optimal Fibonacci nipple position. No correlation was found between 21-cm notch-to-nipple distance and overall aesthetic score.

Identifiers

PMID34712540
PMCPMC8547918

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.