calculator, OR Use the equation: [The square root of: (height in inches) x (weight in pounds)] = BSA m2 o UM Clinicians can approve up to a 100 gram variance (less than required by Schnur Scale) per breast Claim submission requirements Medical necessity is based on the documented symptoms and the requisite grams of tissue to be removed as . x. London: Oxford University Press. 628 0 obj <> endobj Unauthorized use of these marks is strictly prohibited. Average weight of tissue planned to be removed in each breast is above the 22nd percentile on the Schnur Sliding Scale based on the individual's body surface area (BSA). Unable to load your collection due to an error, Unable to load your delegates due to an error. VS 5&rr20DNK6RMqa[G]I&(dt4v4tp444t`3 Insurance companies have slight variations to this scale, but they are all similar. 6. hb```b``7A,3o\gc$4aw@5]W%\C8ydW F-V Yan M, Bustos SS, Kuruoglu D, Manrique OJ, Tran NV, Sharaf BA, Harless CA, Martinez-Jorge J, Forte AJ, Nguyen MT. After this, the treatment modalities Calculate body surface area given the height and weight The calculation is from the formula of DuBois and DuBois: BSA = (W 0.425 x H 0.725) x 0.007184 where the weight is in kilograms and the height is in centimeters. <>>> This patient is a 23 year old female who flew in from out of state to my practice with interest in breast reduction surgery. Ann Plast Surg. `PFLfn0Mf:%fL@g%%`81qcXS7@#i@APU 6& You can also use this calculator to determine the scale of a building. DuBois D, DuBois DF. Select the unit of measurement from the drop-down list. Enter the two magnitudes you want to compare - for our example, these are 5.8 and 7.1. 579 0 obj <>/Filter/FlateDecode/ID[<96E40E4449AEE74FBC5CA08453111522>]/Index[544 63]/Info 543 0 R/Length 147/Prev 146318/Root 545 0 R/Size 607/Type/XRef/W[1 3 1]>>stream Schnur and colleagues 33 reported in a study, based on questionnaire responses from women who had undergone reduction mammoplasty that in properly selected individuals, reduction mammoplasty is safe and effective for relieving and improving symptoms related to macromastia. hbbd``b`S"`1A1DD r You can easily put a scale from point A to point B. Those lines (at the 22nd and 5th percentile) are the lines of the Schnurr Scale- or rather the line between medical and mixed (22nd percentile) is the Schnurr Scale number that insurance uses. 1.350-1.374 199 1.375 -1.399 208 1.400 -1.424 218 1.425 -1.449 227 Macromastia is distinguished from large, normal breast by the presence of . Nippon Eiseigaku Zasshi 1968;5:443-50. Using a scale converter is simple and can be used for any project. While dosing for chemotherapy is often determined using a patient's BSA, there exist arguments against the use of BSA to determine medication dosages that have a narrow therapeutic index the comparison of the amount of a substance necessary to produce a therapeutic effect, to the amount that causes toxicity. o The Modified Schnur Nomogram Chart . 18. Scale factor of length = 4 feet. and transmitted securely. When converting from one scale to another, you should multiply the number by the scale factor. This method was developed by a plastic surgeon for use in a study that was done to determine the number of women who had breast reduction surgery for medical reasons only. When we divide the cardiac output by the BSA, the cardiac index is obtained. This patient was suffering from the usual complex of symptoms including back, neck, and shoulder pain, bra strap grooving, and difficulty with exercise due to her heavy breasts. In a similar analysis using data from Group B, adjusted R 2 values were 0.28 for the Schnur Scale, 0.68 for the Descamps scale, 0.69 for the Appel Scale and 0.71 for the Galveston scale. PMID 9972729 FEP 7.01.21 Reduction Mammaplasty Plast Reconstr Surg. Web The Schnur Scale is a scale used by insurance companies to determine what is in their eyes considered enough breast tissue to be removed to create a medical necessity for. There Are A Lot Of Apps For That Plastic Surgery Practice. Where BSA is represented in m2, W is weight in kg, and H is height in cm, the formulas are as follows: Du Bois D, Du Bois EF (Jun 1916). 2. Arch Int Med 1916;17:863-71. %%EOF doi: 10.1097/PRS.0000000000009536. It is the product of the weight of the person raised to the power 0.444, height Schnur Sliding Scale Body Surface Area and Cutoff Weight of Breast Tissue Removed Breast Reduction (gm) Body Surface Area (m2) Lower 5% Lower 22% 1.35 127 199 1.40 139 218 iPhone. How BSA Different From BMI? hV[o:+~lb}I$,/NHPj; xx+Jz%}VIxaUD*dQB J. |G5 To scale your recipe up or down: 1. The Schnur scale (abbreviated in the Guidelines section) allows a rough estimate of the minimal amount of soft tissue to be removed to justify surgery to alleviate symptoms based on BSA. or Step 2 . This site complies with the HONcode standard for trust- worthy health information: verify here. uK@ / H#$D LL@#g` 60m retrospectively classifying cases as cosmetic or medically necessary. This patient had all of the classic symptoms of oversized breasts including neck pain, back pain, bra strap grooving, shoulder discomfort, and difficulty with physical activity Average grams of tissue per breast to be removed, LEARN MORE ABOUT BREAST REDUCTION SURGERY, 465 N Roxbury Dr., Suite 750Beverly Hills, CA 90210, Dr. Cohen's Perspective: Breast Augmentation & Enhancement, You can calculate your BSA (body surface area) here. The only free BMI, BSA and Schnur calculator on the App Store. cvkkZpQO/93lnJR\G1V&nZPa??5w)z!vX+/!%]_GM||j\G Gz:.Z]$~p: Ua=#3RxN[;&u+T>P']!a _^=OR$Wh\\;A| As Dr. Van Halen mentioned, patients who wear a 32 bra usually measure about 150-175 grams a cup size. An evaluation method for physicians to use on individuals considering breast reduction surgery. Haycock GB, Schwartz GJ, Wisotsky DH "Geometric method for measuring body surface area: A height-weight formula validated in infants, children and adults" J Pediatr 1978, 93:62-66. The medical literature supports an approach based on the measurement of . renal clearance needs to be divided by the BSA, i.e 1.73 m. Declension These tools are especially useful for those who need to present their drawing at a particular scale. However, they also need to know whether the procedure is considered medically necessary, as insurance companies typically pay for breast reduction if it is deemed so. This evaluation method was developed by a plastic surgeon who did a study on women who required breast reduction surgery for medical reasons. If they are below the 22nd percentile, breast reduction is not deemed medically necessary. A map scale calculator can help you to measure distances on a map by providing you with the scale and the distance in real units. We have combined the scale and the BSA nomogram for a simplified nomogram calculator that facilitates rapid determination of anticipated tissue weight of resection for a patient of a given size. Careers. The Schnur group presented a nomogram for calculating BSA and a scale in the form of a table for guiding a determination of whether the patient is a reconstructive patient as opposed to an aesthetic patient. the Schnur Sliding Scale, medical necessity will be . The scale converter is an useful tool for model railroaders, because it helps you translate the size of your model to the size of the real world. have to be planned. This calculator yields the required weight of tissue to remove with just knowledge of the patient's height and weight and the use of a straight edge. 2015 Oct;75(4):376-82. doi: 10.1097/SAP.0000000000000190. 2. BSA (m 2) = 0.0003207 x Height(cm) 0.3 x Weight(grams) (0.7285 - ( 0.0188 x LOG(grams) ). endobj ]U$bH&& The Schnur Sliding Scale chart is an evaluation method used with individuals who are considering breast reduction. The https:// ensures that you are connecting to the Calculation formulae in three stages over all ages. Accessibility tachycardia. All Rights Reserved, Breast Augmentation Miami Breast Implants, Breast Reduction Miami Reduction Mammaplasty, Gynecomastia Surgery Miami - Male Breast Reduction. The patient is a 41-year-old female who presented to my office with complaints of breasts which were larger than desired. It is the product of the weight of the person raised to the power 0.425, height %%EOF Age: Gender Body description: Step 3. The Schnur Scale is a scale used by insurance companies to determine what is in their eyes considered enough breast tissue to be removed to create a medical necessity for the procedure. Schnur Scale: an evaluation method for physicians to use on individuals considering breast reduction surgery. You can calculate your BSA (body surface area) here. 1. doi: 10.1097/PRS.0000000000005712. Schnur et al (1991) reported on a sliding scale assigns a weight of breast tissue to be removed based on body weight and surface area. Web Schnur scale below. Ernahrungs Umschau 2010;57:178-183. You can also find out the ratio between different scales, or how long a certain object is in real life. 5. Learn more about what we cover - including health, dental, and pharmacy. For example, 10 cm on a map corresponds to four meters in reality. HHS Vulnerability Disclosure, Help 4. endstream endobj 903 0 obj <. 1 : How to Use a Scale Converter in a Map Scale Calculator A scale converter is a tool that lets you convert measurements from one scale to another. Would you like email updates of new search results? By ScaleCalculator.com you can easily calculate model size or model scale. x\[oH~ia`` v2I2ELOdrFAYUu5W]{X~:y-U\|oN>.nbvytv"$._QDqee,$_^8@o`~UKLL!z#42 endobj Retrieved 2012-09-09. Next Steps Schnur PL, Hoehn JG, Ilstrup DM, et al. In order to calculate the maintenance doses or to compare the high dose use We The Schnur Sliding Scale is widely used by insurance companies in the western United States in the process of preauthorizing breast reduction operations, and its use may be spreading eastward. . official website and that any information you provide is encrypted Set Age and Gender, then re-Calculate. BSA calculator is extremely essential and it is calculated because it holds great importance in the medical field. %PDF-1.5 PMID 2520314. Copyright 2022 - Face+Body. BMI is a measure used to determine a person's degree of overweight. 2 0 obj Clipboard, Search History, and several other advanced features are temporarily unavailable. A formula to estimate the approximate surface area if height and weight be known. 4. Boukovalas S, Padilla PL, Spratt H, Tran JP, Li RT, Boson AL, Howland N, Phillips LG. %PDF-1.5 % CF = N / O. Reference: The BSA is frequently used in determining the dosage of medications with a narrow therapeutic index, such as chemotherapeutic agents. o The Modified Schnur Nomogram Chart . Dr. Cohen must also understand ahead of time the amount of tissue removed that he believes a patients insurance company will use as a further criterion to consider the procedure medically necessary. 7y\&0Ywsbvg-IcScXdP17N#T/KAU^4eO8ZY3+Un};VH[aoON Z&W4S.+C)"NQ'(F|7e!B#NT~_TiyER8heGT3AyOG`'wnq=Q%h@:qw_G%)PbY;L=kHWZ2N7{DVs-o2?s,+d1Ri'b/\ nUx+5AJSZhEogN$\9+ (A- mNT`nX4X[Ej=*CN$E^>{dJ+)edGTg$P@E3*q>KIG9zi It is also convenient for reprinting maps since you will not have to do calculations. 936 0 obj <>stream 8600 Rockville Pike Ua!eM\<>3t25qeV?I ]vP-uW} {4+&`SQwn1g0QJiY=+Oi Qmlt2M}f)fA2yYk^,%YwjGvKu=y;eD@&{enkl'6_-kxk4InV&~e?nL} Metabolic mass can be estimated using fat-free mass, where fat-free mass is all of a person's body mass that does not include fat. The Schnur scale is a poor predictor of breast resection weight, and the Appel scale is the most accurate estimator, especially in the young and obese population with larger resections. The result is in squared meters, which easily be converted to square feet, inches or yards as needed. (1991) at the request of third-party payers, developed a sliding scale.10, This scale was based on survey responses from 92 of 200 solicited plastic surgeons, who reported the height, weight, and amount of breast tissue removed from each a breast from the last 15 to 20 reduction . It determines the dose of chemotherapy for a patient. Adults Burn percentage in children and Infants For children and infants, the Lund-Browder chart is used to assess the burned body surface area. Dr. Cohens insurance authorization team works to help patients who need medically necessary operations get these approved prior to their surgery. An official website of the United States government. N Engl J Med 1987; 317:1098. She also had significant back, neck and shoulder pain due to extremely large breasts. This tool will help you with converting between metric and imperial measurements. To calculate a child's BSA, draw a straight line from the height (in the left- Epub 2022 Jul 22. Fujimoto S, Watanabe T, Sakamoto A, Yukawa K, Morimoto K. Studies on the physical surface area of Japanese. BU0 j5 then multiplying these values and diving the resulting value with 3600, we get 5 Web We have combined the scale and the BSA nomogram for a simplified nomogram calculator that facilitates rapid determination of anticipated tissue weight of. 2.2 Female breast hypertrophy, macromastia, is the development of abnormally large breasts. You can input one inch to one mile and vice versa. (1991) at the request of third-party payers, developed a sliding scale.10, This scale was based on survey responses from 92 of 200 solicited plastic surgeons, who reported the height, weight, and amount of breast tissue removed Web Where BSA is represented in m2 W is weight in kg and H is height in cm the formulas are as follows. Press J to jump to the feed. A scale converter will also let you change the scale factor in your drawing. raised to the power 0.663 and 0.008883, i.e: Here, the BSA for men and women use alternative equations: What parameters require BSA for calculation? Europe PMC is an archive of life sciences journal literature. Gehan EA, George SL, Cancer Chemother Rep 1970, 54:225-235, Boyd, Edith (1935). Web Suppose the weight of a random person is 9545 kg and his height is 1905 cm then multiplying these values and diving the resulting value with 3600 we get 5 and. Schnur Weight is used as a reference by plastic surgeons performing breast reduction surgery . Copyright 1993-2021 The calculator below provides results for some of the most popular formulas. Updated list of Required Clinical Information to reflect/include: o Diagnosis o History of the medical condition(s) requiring treatment or surgical intervention, including: History of chief complaint and associated symptoms %PDF-1.6 % It is a more accurate estimate of total body fat compared with body weight alone. According to news reporting originating in Pittsburgh . The Schnur Scale will be utilized to determine if the amount of tissue to be removed (per breast) will provide a reasonable expectation of symptom relief for the member's BSA (Dubois) or if the surgery is cosmetic in nature. Calculated based on height and weight, 1 BMI is easy to measure, reliable, and correlated with percentage of body fat mass. This can be instrumental in determining if breast reduction is being planned for a purely cosmetic reason or as a medically necessary procedure. Safety Check. Each surgeon who participated in g=CI^DW :pP:2 o2 BOCO6 CQ ^D@Ki <=-ahVnHQYL_U 9uPb)^gO5`W'`$P 9, 2021 Amended Schnur scale note by adding that the "minimum" amount of breast tissue to be removed must be proportional to the body surface area (BSA) References American Society of Plastic Surgeons. Find the recipe conversion factor (CF). endstream endobj 629 0 obj <>/Metadata 26 0 R/OCProperties<><><>]/ON[653 0 R]/Order[]/RBGroups[]>>/OCGs[653 0 R]>>/Outlines 669 0 R/PageLayout/OneColumn/PageMode/UseOutlines/Pages 625 0 R/StructTreeRoot 35 0 R/Type/Catalog/URI 626 0 R>> endobj 630 0 obj <>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 631 0 obj <>stream Federal government websites often end in .gov or .mil. This patient is a 42 year old female who requested a consult at my facility due to problems with oversized breasts. Dr. Cohen uses the Schnur Sliding Scale to help patients determine if their breast reduction is medically necessary and then present the proper information to insurance companies. sharing sensitive information, make sure youre on a federal Body Surface Area m. How to Use a Scale Converter in a Map Scale Calculator A scale converter is a tool that lets you convert measurements from one scale to another. endstream endobj startxref The tool on this site (scale calculator) is an extremely useful tool that can help . Breast Reduction Calculator - Schnur Scale (Question Answered) Watch on It's an equation that is derived from determining your body mass. Schnur Sliding Scale: Body Surface Area m 2 Grams per Breast of Minimum Breast Tissue to be Removed 1.350-1.374 199 1.375-1.399 208 1.400-1.424 218 1.425-1.449 227 1.450-1.474 238 1.475-1.499 249 1.500-1.524 260 1.525-1.549 272 1.550-1.574 284 1.575-1.599 297 1.600-1.624 310 1.625-1.649 324 1.650-1.674 338 1.675-1.699 354 1.700-1.724 370 1.725 . The strove volume divided by the BSA provides you the Stroke Volume Index. According to two prospective studies, women of varying breast . hb```f`` Ab,=cr``p?4sqpJ c` F!s0hH&*B1C(?s%}E3t_(H/t=)ediovt#g1/HK0d3- &e`}H=X,T$ @>t 5. For the hemodynamic parameters, in case of extreme height and weight, 3. Direct measurement of BSA is difficult, and as such many formulas have been published that estimate BSA. 3.Systemic vascular resistance index (SVRI): Divide the systemic vascular resistance by BSA to get the SVRI. Quick Calculation of Breast Resection Mass Using the Schnur Scale In 1991, Dr Paul Schnur and his colleagues published an article correlating the weight of breast tissue to be removed in a breast reduction operation with the total body surface area (BSA) of the patient. Similarly, if you are converting a volume from an inch to an inch, you should multiply the number by the number of cm. Web Since the Schnur sliding scale and Seitchik formula lack scientific rigor and validity they should not be used as criteria for approval of insurance coverage. This app was written and developed by a surgeon to provide a quick and easy tool for calculating Body Surface Area, Body Mass Index, Ideal Body Weight and Breast Schnur Weight. Reference: DuBois D, DuBois DF. <> Web We would like to show you a description here but the site wont allow us. 2022 Oct 1;150(4):723e-730e. Body Mass Index (BMI) and Body Surface Area (BSA) - MDCalc Body Mass Index (BMI) and Body Surface Area (BSA) Calculates body mass index and body surface area. Nippon Eiseigaku Zasshi 1968;5:443-50. 652 0 obj <>/Filter/FlateDecode/ID[<8F6893E16181654A91A3937584E78A3F><832FAD3F62BDEE44AF8D6AF0FF3B57FE>]/Index[628 49]/Info 627 0 R/Length 111/Prev 109150/Root 629 0 R/Size 677/Type/XRef/W[1 2 1]>>stream Breast Reduction Calculator (Schnur Scale ) Breast Reduction Calculator (Schnur Scale ) Nick Masri, MD, FACS The Schnur Scale is a scale used by insurance companies to determine what is in their eyes considered enough breast tissue to be removed to create a medical necessity for the procedure. The Schnur group presented a nomogram for calculating BSA and a scale in the form of a table for guiding a determination of whether the patient is a reconstructive patient as opposed to an aesthetic patient. Do Not Copy, Distribute or otherwise Disseminate without express permission. endstream endobj startxref % 2019 Jul;144(1):18e-27e. The four most common equations used to calculate the BSA are included in this . kilograms and dividing the value by 3600. What Tools Do You Need to Build Scale Models, Tips for understanding and transforming scales. 2 BMI can also help gauge a person's risk for conditions such as . 606 0 obj <>stream Removed Definitions, Benefit Considerations, and References sections Archived previous policy version CS012.X . hbbd``b`+v HX FM0I~ R$D:+$R2012Lf`/@ !< It even allows you to convert fractions of an inch to the correct scale. Ann Plast Surg. 2021 Mar 1;147(3):382e-390e. Like many healthcare insurers, Blue Cross Blue Shield companies often require beneficiaries to plot on or above the 22nd percentile of the Schnur scale to be eligible. Bookshelf With its help, you can easily convert your model to the correct size for your railroad layout. The . The information, tools, and resources you need to support the day-to-day needs of your office It tells us about the drug dosage and etc. Sep 1991;27(3):232-237. There is ample evidence that the practice of applying the Schnur Sliding Scale may be prohibitive to symptomatic patients seeking reduction mammaplasty and should be abandoned. and the square root of 5 is 2.24 m. About Calculate Scale calculator. Despite these limitations, the effects of chemotherapy dosages as determined by BSA measurements still remain more consistent than those determined by body weight alone. Once you have done this, the scale converter will provide you with a conversion table. The Schnur Sliding Scale is widely used by insurance companies in the western United States in the process of preauthorizing breast reduction operations, and its use may be spreading eastward. Enter the number of scale length, the real length will be calculated automatically. Body Surface Area (BSA), along with the threshold for the average weight of breast tissue removed, is incorporated into the Schnur Sliding Scale chart to indicate the medical necessity of reduction mammoplasty. He uses the Schnur Sliding Scale to help him determine these factors with integrity and proper judgment. This site needs JavaScript to work properly. Ann Plast Surg. Here we have the following formula: Scale factor of length = Scaled Length/Real Length. Click here for link to Body Surface Area Calculator. We demonstrate and compare performance of this calculation by hand and by nomogram. If the therapeutic index is too narrow, BSA may not be an accurate enough measure, and there is a risk of causing a toxic rather than therapeutic effect. The study by Schnur et al was based. DuBois D, DuBois EF. 2017. Web A beautiful free online scientific calculator with advanced features for evaluating percentages fractions exponential functions logarithms trigonometry statistics and more. Breast Reduction, the Schnur Scale, and Insurance Coverage. For heart failure, an inotropic agent might also be required. While this practice continues, our simplified Schnur Sliding Scale nomogram is meant to help easily determine the insurer-required minimum breast resection weight and thereby both improve patient counseling prior to planning surgery and assist the surgeon with achieving insurer reimbursement for the procedure while avoiding rejected claims. For example, a map that uses a linear scale will have the distance between major ticks at one centimeters or one kilometer in real life. 0 In case it is below the normal range, The Institute of Child Welfare, Monograph Series, No. According to the National Burn Repository, the mean burn size is 13.4% of the total body surface area 1 . Your views and suggestions are important to us. You can recalculate by pressing the 'inch' or 'cm' output buttons. Schnur Sliding Scale. Scale factor of length = 65.6 feet/16.4 feet. You may also be interested in our Cooking Measurement Conversion Calculator or Cake Pan Conversion Calculator BSA is also used in various other clinical settings, such as determining cardiac index (to relate a person's heart performance to their body size) or most commonly, dosages for chemotherapy (a category of cancer treatment). Pearls/Pitfalls Why Use Weight lbs Height in Target BMI Optional, to determine weight required to achieve target BMI kg/m Diagnostic Result: Please fill out required fields. Multiply each ingredient amount by the CF. Set the scale ratio according your need, eg 1:10, 1:30, 35:1; Select the unit of real length and scale length; Using different units will automatically convert the result; Enter the number of real length, the scale length will be calculated automatically. The Schnur Sliding Scale chart below is an evaluation method for providers to use for members considering reduction mammoplasty. The Schnur scale determines the therapeutic necessity of breast reduction surgery by comparing the weight of the removed tissue to your total body area. Scale length = 5m = 16.4 feet. Enter the scale factor; for example, if you wish to work with a 1/6th scale, input 6. raised to the power 0.725 and 0.007184, i.e: It is the product of the weight of the person raised to the power 0.5378, height Jan 1999;42(1):107-108. <> In a How Does Volume of Resection Relate to Symptom Relief for Reduction Mammaplasty Patients. PMC Copyright 2021 GlobalRPH - Web Development by, HONcode standard for trust- worthy health, Pediatric Oncology: Diagnosis And Prognosis Communication. The amplitude of shaking is 10 times larger. Basically the minimum that's needed to be removed in order for you to become free of your symptoms. This parameter is used for adjusting the creatinine clearance while making a A formula to estimate the approximate surface area if 0 raised to the power 0.3964 and 0.024265, i.e: It is the product of the weight of the person raised to the power 0.51456, 2. Our scale calculator allows you, based on the given scale factor, to know the object's true size (if you specify its scale size) or scale size (if you specify its actual size). Covered Services. Grams per Breast of Minimum Breast Tissue to be Removed . A linear scale shows dimensions in a graphical manner and is intuitive to use. height raised to the power 0.42246 and 0.0235, i.e: BSA = 0.03330 W(0.6157 - 0.0188 log10(W) H0.3. The Growth of the Surface Area of the Human Body. Women who would like to reduce the size of their breasts usually know they want the procedure in order to achieve a lighter, more attractive breast shape. MeSH it can be seen that BSA is not as reliable as the Body Mass Index. Schnur et al. It's an equation that is derived from determining your body mass. Enter the dimensions of the actual object (or measurements of the scaled object if you are planning on converting a scale to an actual size) 4. The calculator below computes the total surface area of a human body, referred to as body surface area (BSA). This indicates an effective cardiac output. There is also evidence that BSA becomes less accurate at the extremes of height and weight, and BMI may be a better estimate in such cases. 2022-2023 Residential Trash Recycling Schedule PDF Please note the following. Then take the square root of the Web the 22nd percentile on the Schnur Scale If one breast meets the tissue amount based on the Schnur Scale even if the other breast does not this criterion is met. For gaining the appreciation of true glomerular filtration rate (GFR), the Schnur et al (1991) reported on a sliding scale assigns a weight of breast tissue to be removed based on body weight and surface area.
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