Is free nipple grafting necessary in patients undergoing reduction mammoplasty for gigantomastia? A systematic review and meta-analysis

Bonomi, Francesca; Harder, Yves; Treglia, Giorgio; De Monti, Marco; Parodi, Corrado

doi:10.1016/j.bjps.2023.12.009

Cited by 4 publications

(3 citation statements)

References 43 publications

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“…The inclusion of vasculature from the Würinger septum enhances the likelihood of tissue survival and doesn't preclude the possibility of lactation postoperatively. Recent studies have further substantiated the efficacy of these techniques [ 21 ]. In the current case, we opted, in agreement with the patient, for a method involving NAC grafting (it is significant to note that the modifications implemented in the technique can also be applied to pedicled approaches) due to the necessity of excising significant portions of both skin and glandular tissue, ensuring an extensive reduction in breast volume applied and the absence of complications, aesthetic issues, and problems with the patient's quality of life.…”

Section: Discussionmentioning

confidence: 99%

Extremely rare case of unilateral gigantomastia after hormonal stimulation treated with a modified wise pattern technique: A case report

Ferraro,

Molle,

Gesuete

et al. 2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Extremely rare case of unilateral gigantomastia after hormonal stimulation treated with a modified wise pattern technique: A case report

Ferraro,

Molle,

Gesuete

et al. 2024

International Journal of Surgery Case Reports

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“…It is important to note that our patient population held the diagnosis of macromastia or gigantomastia, which is defined in the literature as a breast reduction up to 2000 g per breast. 20 There are data to suggest that certain reduction techniques are more successful for larger breasts, such as in gigantomastia 21 , 22 In the examined patient population with lower resection weights, the various pedicled techniques are safe and reliable to use. Patients did not perceive a deviation in outcomes by pedicle technique.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Patient-reported Outcomes after Bilateral Reduction Mammoplasty: A Comparison of Reduction Techniques at a University Hospital

Hinson,

Karne,

Rosser

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Macromastia, defined as the abnormal enlargement of breasts, burdens individuals physically and psychologically, impacting their daily lives beyond aesthetics. Reduction mammoplasty offers relief by restoring proportional breast volume and appropriate contour. Surgical success relies on choosing a suitable individualized operative technique tailored to the patient’s presentation and postoperative goals. This study examines postoperative, patient-reported outcomes across different reduction techniques to gauge the impact of reduction technique on overall patient perspective of aesthetic and functional satisfaction. Methods: A retrospective review identified reduction mammoplasty patients by a single surgeon between 2018 and 2022. Exclusion criteria included augmentation-related or cancer reconstructive procedures. Phone interviews were conducted using a survey adapted from BREAST-Q to assess postoperative outcomes in patients. Data analysis included Pearson chi-square test in STATA 16.1. Results: Among 155 patients identified, 64 completed the survey. Average postsurgical interval was 24 months postoperative. After stratifying patients by operative technique, there was no significant difference in postoperative satisfaction among the cohorts with regard to nipple and breast appearance, sensation, symmetry, or shape. Conclusions: This study highlights no significant disparity in perceived aesthetic or functional outcomes among different reduction mammoplasty techniques. Personalized considerations, such as patient factors, surgical expertise, and anatomical specifics, should guide technique selection, emphasizing individualized approaches over presumed superior methods for optimal results.

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“…Regardless of the consequence, breast ptosis is not only an aesthetic problem but can also affect patients' self-esteem and self-perception. It has also been related to physical problems such as infection or intertrigo of the submammary fold [10] and cervical and dorsal pail in heavier breasts [8,11].…”

Section: Introductionmentioning

confidence: 99%

Breast Vascularization and Its Implication in Breast Reduction and Mastopexy Surgery: Anatomical Study

Salas-López,

Morgado-Águila,

López-de-Celis

et al. 2024

JPM

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(1) Background: Breast reduction is one of the most frequently performed plastic surgeries in women worldwide. The Wise pattern breast reduction is one of the most frequent skin designs for this surgery. One key point of the surgery is to preserve a well-vascularized NAC by using different surgical pedicles. This study aims to test and update the anatomical knowledge of breast vascularization, the topographic and anatomical basis of the different surgical vascular pedicles, and the differences between the right and left sides. (2) Methods: A descriptive observational anatomical study was carried out on 15 breasts from 10 cryopreserved body donors. A dissection was performed by quadrants to know the affected arteries’ origin in the different patterns. (3) Results: The largest and most frequently dissected internal mammary perforator artery was in the second intercostal space. A total of 44.9% of the dissected perforators are located in the upper inner quadrant, compared to 53.5% in the lower quadrants. (4) Conclusions: The upper inner quadrant alone has the most arterial perforators. In contrast, the sum of the two lower quadrants represents the greatest vascularization of the breast, with a small difference between both.

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Is free nipple grafting necessary in patients undergoing reduction mammoplasty for gigantomastia? A systematic review and meta-analysis

Cited by 4 publications

References 43 publications

Extremely rare case of unilateral gigantomastia after hormonal stimulation treated with a modified wise pattern technique: A case report

Extremely rare case of unilateral gigantomastia after hormonal stimulation treated with a modified wise pattern technique: A case report

Evaluating Patient-reported Outcomes after Bilateral Reduction Mammoplasty: A Comparison of Reduction Techniques at a University Hospital

Breast Vascularization and Its Implication in Breast Reduction and Mastopexy Surgery: Anatomical Study

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