Where Do We Look? Assessing Gaze Patterns in Breast Reconstructive Surgery with Eye-Tracking Technology

Plastic and Reconstructive Surgery
Lawrence Z CaiRahim S Nazerali

Abstract

Aesthetics plays a large role in determining a successful outcome in plastic and reconstructive surgery. As such, understanding perceptions of favorable aesthetics is crucial for optimizing patient satisfaction. Eye-tracking technology offers an unbiased way of measuring how viewers evaluate breast reconstructions. Twenty-nine raters with varied plastic surgery experience were shown 20 images of breast reconstruction at various stages. Breasts were divided into those with nipples and no reconstruction scars, those with nipples and reconstruction scars, and those with reconstruction scars and no nipples. Raters viewed each image for 8 seconds to evaluate aesthetic outcomes. Eye-tracking equipment and software were used to track raters' gaze and analyze the distribution of attention. In breasts with reconstruction scars and no nipples, viewers spent 53.9 percent of the view time examining scars, whereas viewers' attention was divided evenly in breasts with both reconstruction scars and nipples, spending 27.5 percent and 27.7 percent of view time examining the nipples and reconstruction scars, respectively. When examining complete reconstructions, viewers spent more time scanning the entire image before fixating on scars and spent...Continue Reading

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Citations

Sep 1, 2018·Plastic and Reconstructive Surgery·Joris A van DongenBerend van der Lei
Sep 18, 2018·Plastic and Reconstructive Surgery·Arie AzuelosBarbara Hersant
Sep 18, 2018·Plastic and Reconstructive Surgery·Lawrence Z CaiRahim S Nazerali
Apr 19, 2019·Plastic and Reconstructive Surgery·Lawrence Z CaiRahim S Nazerali
Nov 2, 2019·JAMA Facial Plastic Surgery·Jacob K DeyMasaru Ishii
Nov 26, 2019·Plastic and Reconstructive Surgery·Piotr PietruskiBartłomiej Noszczyk
May 30, 2020·Aesthetic Plastic Surgery·Javier MontonRicardo Insausti
Feb 6, 2020·Aesthetic Surgery Journal·Malke AsaadUldis Bite
Jun 28, 2019·Plastic and Reconstructive Surgery·Lawrence Z CaiRahim S Nazerali
Apr 16, 2020·Annals of Plastic Surgery·Dylan J PetersonRahim S Nazerali
Nov 7, 2019·Plastic and Reconstructive Surgery·Joris A van DongenBerend van der Lei
Dec 19, 2020·Aesthetic Surgery Journal·Shanique A MartinRahim Nazerali
Jun 12, 2021·Aesthetic Plastic Surgery·Shanique A MartinRahim Nazerali
Jun 17, 2021·Plastic and Reconstructive Surgery·Katie G EganJames A Butterworth

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