Inverted-T Reduction Mammoplasty with Superomedial Pedicle for Gigantomastia - A Case Series

Khan, Romaisa Shamim; Gill, Nauman Ahmed

doi:10.26502/jsr.10020159

Cited by 2 publications

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“…The superomedial pedicle (SMP) technique provides clinical benefits to the patient without increasing surgical risks or postoperative complications. 1,2,5,7,9,[16][17][18][19][20] This technique was previously considered precarious because the width of the pedicle was felt to be inadequate to deliver perfusion of the NAC. Recent studies have shown that not only is the blood supply adequate, but there is preservation of sensation and creation of an aesthetic breast shape.…”

Section: Discussionmentioning

confidence: 99%

Medial Pedicle Wise-pattern Breast Reduction for Gigantomastia: A Single-center Retrospective Review

Hinson

Bouillon

Brooks

2023

Plastic and Reconstructive Surgery - Global Open

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Background: Gigantomastia causes severe back pain, postural imbalance, intertrigo, and psychosocial disablement. Multiple breast reduction techniques exist. Breast reduction with free nipple graft reconstruction is the preferred treatment. We found that the medial pedicle Wise-pattern (MPWP) technique is an equally safe and effective technique. Methods: Review of our institution’s electronic medical record between February 2020 and February 2023 identified women with gigantomastia who underwent bilateral reduction with more than 1500 g resected in at least one breast. Multinomial logistical regressions were used to identify associations between comorbidities, operative techniques, postoperative complications, and nipple areolar complex function. Results: Thirty-one patients underwent bilateral reduction mammaplasty. Total bilateral resection weight and average body mass index (BMI) were 3828 g and 40 kg per m2. Common comorbidities were hypertension (38%) and tobacco use (26%). MPWP was used predominantly (65%), followed by inferior pedicle (16%) and superior-medial pedicle (10%). Complications included loss of nipple areolar complex sensation (23%) and wound dehiscence (16%). Reduction technique was not associated with increased surgical complications (odds ratio = 0.75, P = 0.273). Age, excision amount, use of postsurgical drains, and BMI were not associated with increased complications (P = 0.29, P = 0.55, P = 0.74, P = 0.41). Rates of areolar sensation loss were higher in larger BMIs, but this was not statistically significant (P = 0.051). Conclusions: The MPWP reduction technique is an equally safe and effective treatment of gigantomastia when compared with reduction with free nipple graft reconstruction. There is the added benefit of preserved nipple sensation without increased postoperative complications.

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Section: Discussionmentioning

confidence: 99%

Medial Pedicle Wise-pattern Breast Reduction for Gigantomastia: A Single-center Retrospective Review

Hinson

Bouillon

Brooks

2023

Plastic and Reconstructive Surgery - Global Open

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“…As a result, it has become possible to achieve free nipple breast reduction akin to traditional pedicle reductions. (8) For breast reduction, a variety of options have been previously reported. between most popular methods are inferior, lateral, superolateral, superior, superomedial, central, & bipedicle approaches.…”

Section: Introductionmentioning

confidence: 99%

Combined superior and inferior dermoglandular flaps for projection enhancement in giantic breast amputation and free nipple areola graft

Almeghawesh

2023

ijhs

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Giantomastia has been a pathological condition in which excised breast tissue weighs more than1.5 kg per breast or when breast weight surpasses three percent of body weight. epidermis & Cooper's ligaments, which support breast tissue, expand as a result of breasts becoming heavier & larger, which causes breast ptosis. Numerous methods for correcting gigantomastia have been discovered. amputation for decreased studied cases who complain of gigantomastia & severe ptosis (space among nipple & inframammary fold exceeds twenty-five cm) are only eligible for mammaplasty with free nipple-areola grafting. purpose of that surgery is to achieve breast shape size that is acceptable while also relieving pain & suffering brought on by excessive breast tissue hypertrophy. flat, boxy breasts with poor projection is the main drawback of that treatment. Several flaps, including superior, inferior, medial, superomedial,& lateral-based flaps combined with wise-pattern skin excision, are employed to address this drawback.

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Inverted-T Reduction Mammoplasty with Superomedial Pedicle for Gigantomastia - A Case Series

Cited by 2 publications

References 0 publications

Medial Pedicle Wise-pattern Breast Reduction for Gigantomastia: A Single-center Retrospective Review

Medial Pedicle Wise-pattern Breast Reduction for Gigantomastia: A Single-center Retrospective Review

Combined superior and inferior dermoglandular flaps for projection enhancement in giantic breast amputation and free nipple areola graft

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