3D Breast Scanning in Plastic Surgery Utilizing Free iPhone LiDAR Application: Evaluation, Potential, and Limitations.

This article evaluates the accuracy and clinical utility of iPhone-based light detection and ranging (LiDAR) technology, specifically using the 3D Scanner App on the iPhone 15 Pro, for breast measurements in plastic surgery compared to traditional manual tape measurements. In a prospective study of 25 female patients undergoing breast procedures, LiDAR demonstrated very good accuracy for sternal notch-to-nipple and nipple-to-midline distances but showed poor accuracy for nipple-to-inframammary fold measurements due to anatomical and technological limitations. The study highlights the technology's excellent interrater reliability, rapid learning curve, and significant cost reduction compared to commercial 3D imaging systems, while noting current constraints related to scanning technique, patient positioning, and device capabilities. Overall, mobile LiDAR scanning offers a promising, accessible, and cost-effective tool for 3D breast imaging and surgical documentation, with anticipated improvements as mobile hardware and software evolve.