Document Type

Article

Publication Date

7-18-2024

Publication Title

Plastic and Reconstructive Surgery - Global Open

Abstract

Gigantomastia presents a unique set of challenges for preservation of the nipple-areola complex in patients undergoing reduction mammaplasty. Historically an indication for breast amputation and free nipple graft (FNG), gigantomastia is now commonly treated using pedicle-based reconstruction. We present a case combining these two surgical techniques, using an inferior-pedicle reduction with an FNG in the management of extreme breast hypertrophy with 11,300g in total resected. This case report shows that such a technique for gigantomastia reductions can combine the aesthetic benefits of a pedicled reduction with the reliability of FNGs. These benefits make the hybrid inferior pedicle reduction a useful option, which should be present in every plastic surgeon's armamentarium when caring for these patients.

First Page

e5989

PubMed ID

39027890

Volume

12

Issue

7

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