Evidence map›Paper›PMID 41361152›Full record

ArticleAesthetic plastic surgery2026

The Ideal Breast: Insights From a Patient's Survey and a Global Aesthetic Surgery Consensus at the A.M.B.E.R.

Ernesto Maria Buccheri, Giuseppe Lanzano, Paolo Montemurro, William P Adams, Christoph Andree, Giovanni Bistoni, Giovanni Botti, Thiago Cavalcanti, Moustapha Hamdi, Per Heden and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Ernesto Maria Buccheri *Plastic Surgery, Ultraclinic Center, Via Clitunno 22, 00198, Rome, Italy.
Giuseppe Lanzano *Department of Plastic, Reconstructive and Aesthetic Surgery, University of Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 80138, Naples, Italy. chirurgiaplasticalanzano@gmail.com.ORCID 0000-0001-7484-0780
Paolo MontemurroAkademikliniken, Storängsvägen, 1011541, nStockholm, Sweden.
William P AdamsDepartment of Plastic Surgery, UT Southwestern Medical Center, Dallas, TX, USA.
Christoph AndreeDepartment of Plastic, Reconstructive and Aesthetic Surgery, Sana Hospital Gerresheim, Duesselorf, Germany.
Giovanni BistoniDepartment of Surgery, Plastic and Reconstructive Surgery Unit, Sapienza University of Rome, Rome, Italy.
Giovanni BottiVilla Bella Clinic, Salò, Italy.
Thiago CavalcantiPrivate Practice Rua 3110, 234, Sala 1, Balneário Camboriú, SC, 88330-287, Brazil.
Moustapha HamdiDepartment of Plastic, Reconstructive and Aesthetic Surgery, Brussels University Hospital (UZ Brussel), Brussels, Belgium.
Per HedenAkademikliniken, Storängsvägen, 1011541, nStockholm, Sweden.
Patrick MallucciDirector of Plastic Surgery at Mallucci London, 13 crescent Place, London, SW3 2EA, UK.
Carlos ManfrimDepartment of Plastic Surgery, University of Maringá, Maringá, Parana, Brazil.
Marc Pacifico, Tunbridge Wells, Kent, UK.
Damiano TambascoPlastic Surgery Unit, GVM Care and Research Group, San Carlo of Nancy Hospital, 00185, Rome, Italy.
Roy de VitaDepartment of Plastic and Reconstructive Surgery, IFO-Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The concept of the "ideal breast" in aesthetic surgery has historically varied across regions, with European surgeons favouring more natural outcomes and South American surgeons preferring fuller aesthetics. This study aimed to evaluate whether these regional differences persist in the context of increasing global connectivity and the integration of artificial intelligence (AI) in aesthetic evaluation. During the Aesthetic Meeting on Body Enhancement and Rejuvenation (A.M.B.E.R. 2024), 80 plastic surgeons (70% European, 30% South American) assessed AI-generated images depicting variations in breast volume, projection, cleavage, and upper-to-lower pole ratio. Concurrently, 369 female patients completed a similar survey. Surgeons additionally answered technical questions about implant type, incision, and pocket preference. Statistical analysis revealed significant preferences across all parameters (p < 0.001) but no significant differences between European and South American surgeons (p > 0.05). Both surgeons and patients predominantly favoured moderate volume, pronounced projection, tight cleavage, and a balanced 50/50 upper-to-lower pole ratio. Technical preferences included the dual plane implant pocket and anatomical implants, with inframammary and periareolar incisions equally favoured. These findings suggest a convergence of aesthetic standards transcending geographic boundaries, likely influenced by global information exchange and digital innovation. The integration of AI for image generation and data analysis represents a methodological advancement in aesthetic research. These results support the development of standardized yet personalized surgical protocols to optimize patient outcomes. Further studies are warranted to correlate these aesthetic preferences with long-term clinical results and patient satisfaction.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Indexed as

BreastBreast ImplantationEstheticsMammaplastyPatient SatisfactionAdultBreast ImplantsConsensusEuropeFemaleHumansMiddle AgedSurgery, PlasticSurveys and QuestionnairesArtificial intelligenceBreast augmentationBreast implantation/trendsBreast surgeryCongresses as topic/trends*Mammaplasty/trends

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.