Ayman Noaman

Cairo University

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3D Volume Assessment as an Objective Tool in Breast Asymmetry Management

Plastic & Reconstructive Surgery Global Open (2023)

Mahmoud Makram Ayman Noaman Mohammed Abozeid

Throughout history, the female breast has been a universal symbol of femininity. The breast's normal symmetrical appearance is an important aspect of the female form. Female breasts are not perfectly symmetrical by nature, and minor differences in shape or volume are common. However, it can be psychologically distressing for patients and affect their perception of their bodies. Aesthetic breast surgeons strive to minimize these differences in order to make them more acceptable to patients. This study aimed to provide an objective and practical strategy for effectively managing breast asymmetry.This study was conducted between November 2017 and September 2021 on 20 female patients seeking breast asymmetry correction at Kasr El-Ainy Hospital. All patients had volumetric breast assessment using a three-dimensional (3D) imaging system (3D LifeViz, Quantificare system), and MRI breast volumetry was done preoperatively in all patients. The patients were managed with different single-stage surgical procedures depending on the objective assessment of the volume differences between their breasts.Breast volume assessment using the 3D camera was done preoperatively and postoperatively. The preoperative mean volume difference was 159.45 cm3, and the postoperative mean difference was 16.75 cm3 with an overall reduction in mean volume difference of 89.5%. Comparing the 3D camera and MRI in assessing breast volume difference showed no statistical significance.The 3D technology is a useful objective tool to augment the surgeon's experience. It helped achieve an 84.57% reduction in volume difference in managing breast asymmetry with a single-stage procedure.

Breast reduction

Breast MRI

10.1097/gox.0000000000004904

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Smoothening the Lid-Cheek Junction in Lower Blepharoplasty

The Egyptian Journal of Plastic and Reconstructive Surgery (2020)

Mohamed Ashraf Ayman Noaman Ahmed El Naggar

Aim: Transcutaneous lower blepharoplasty is more convenient for its easier learning curve, its better visibility and access to the lower periorbital structures.Conventional techniques entail fat removal to improve the lower eyelid contour.In this study we adopted the extended transcutaneous lower eyelid blepharoplasty that included dissection below the extent of the inferior orbital margin to correct the tear trough deformity that is usually missed in traditional techniques.Methods: From December 2017 to December 2018, 25 patients were subjected to this procedure via a transcutaneous stair-step incision.A retrospective analysis was implemented.On the medial side, palpebral, orbital orbicularis oculi muscle and the orbitomalar ligament were freed with dissection approaching to the premaxillary space.On the lateral side, release of the orbitomalar ligament was done, followed by dissection reaching to the prezygomatic space.Fat pads were dealt with either by excision or redistribution. Results:The mean follow-up was 12 months.High degree of patient's satisfaction was noted after using this technique.No major complications in term of lid malposition or scleral show or infection. Conclusion:Extended transcutaneous lower blepharoplasty is a safe and effective approach and a very powerful modality for blending the lid-cheek junction and periorbital rejuvenation.Level of Evidence: Therapeutic, V.

Blepharoplasty

Cheek

10.21608/ejprs.2020.140018

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Management of Acute Disease in the Remnant Gallbladder: The Effectiveness of Repeat Laparoscopy

HPB (2021)

Ileana Horattas Andrzej Guzowski Ayman Noaman Joseph N. Gabra

Gallbladder disease

10.1016/j.hpb.2020.11.995

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The Use of Muscle-Sparing Latissimus Dorsi Myocutaneous Flap (MSLD) to Minimize Functional Morbidity in Patients with Post Burn Breast Deformities

Deleted Journal (2025)

Rama Ahmed Ali Ahmed Gamal Hemidan Dina Hosny Gamal El- Din Nancy Shehta Ayman Noaman

Latissimus dorsi muscle

10.21608/ejprs.2025.405211

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WTP8.9 3D volume assessment as an objective tool in breast asymmetry management

British journal of surgery (2023)

Mahmoud Makram Ayman Noaman Mohammed Abozeid Khaled Noureldin

Abstract Background The normal symmetrical appearance of the breast is a vital. It can be psychologically distressing to patients and affects their body perception when these differences are obvious. The goal of breast surgeons is minimising these differences to make them more acceptable to patients. Methods This study was done on 20 females seeking breast asymmetry correction. Age ranged from 18 to 45 years (mean age: 30.4). All patients had volumetric breast assessment using a (3D) imaging system (3D LifeViz®, Quantificare system). The first 10 patients were chosen randomly for breast (MRI) volumetry to confirm the results of the 3D system. The patients were managed with different single-stage surgical procedures depending upon the objective assessment of the volume difference between their breasts. Results Breast volume assessment using the 3D camera was done in all 20 patients pre-operatively 30 and postoperatively. The preoperative mean volume difference was 159.45 cm3, and the postoperative mean difference was 16.75 cm3, with an overall reduction in mean volume difference of 89.5%. Breast MRI volumetry was done for 10 randomly chosen patients to confirm the results and ranged between 3 and 12 cm3 (average 7.1 cm3) on the right and 0 and 15 cm3 (average 6.3 cm3) on the left. Comparing the 3D camera and MRI in assessing breast volume difference showed that the difference ranged between 1 and 5 cm3 with an average of 2.4 cm3, which was not statistically significant. Conclusion The 3D technology is useful objective tool to augment the surgeons’ experience. It helped to achieve an 84.57% reduction in volume difference in managing asymmetry with single-stage procedure.

Mean difference

Breast-conserving surgery

10.1093/bjs/znad241.237

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Single Flap Upper Medial Vector Brachioplasty: A Modification to The Fascial Suspension Technique

The Egyptian Journal of Plastic and Reconstructive Surgery (2020)

Ayman Noaman Ahmed Salem Dina Badawi

Background: Arm contouring for lipodystrophy and ptosis are increasing in demand with age and especially after massive weight loss following bariatric surgeries.Aesthetic arm contouring is one of the most requested surgeries to those patients.Multiple classification systems were described to guide the management during pre-operative assessment.Treatment options vary between liposuction only, skin resection only, a combination of liposuction and excision, or possibly the use of newer energy based skin tightening devices.One of the most undesirable sequelae is visible scarring either due to widening or migration of the scars.Location of the scar and elimination of fat deposits and excess skin are the ultimate concerns of patients seeking this surgery.The focus of this study modification has been aimed to improve the poor aesthetic result of scar sequelae and over all arm contouring.Aim of Work: Developing a modification in surgical technique for brachioplasty, that eliminates excess skin with adequate arm contouring, and position scars in the least visible location, thus achieving better overall patient satisfaction.Methodology: This study was conducted on 15 patients who presented seeking arm contouring in the period from October 2017 to May 2019.Among these patients the average age was 38.Average BMI was 27.5kg/m 2 .60% of the cases presented following Bariatric surgeries, 26.7% presented with skin excess following fluctuations in weight and effect of aging, and 13.3% presented with excess skin following previous unsatisfactory liposuction.Routine liposuction done initially, incision done down to the honeycomb plane, undermining was carried deep to the superficial fascia up to the anterior border of triceps.Skin flap was redraped and pulled in an upper medial vector.Results: This upper medial vector helped in improving the contour of the arm in a homogenous way, eliminating skin excess especially in the area above the olecranon in the distal arm and also avoids the presence of bands while closure.Early complications was limited to one case with 2cm wound dehiscence, while late complications showed 5 cases with scar hypertrophy and 4 cases with scar pigmentation. Conclusion:The mentioned technique proved to be reliable in achieving favorable arm contouring, with acceptable scarring and a low incidence of complications. 83

Liposuction

Body contouring

Deep fascia

Lipodystrophy

10.21608/ejprs.2020.88892

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Matrix Rotation Flaps Vertical Mastopexy Grisotti Flap

Springer eBooks (2021)

Omar Sherif Omar Ayman Noaman MAHMOUD ABDELMONEIM

Mastopexy

Quadrant (abdomen)