Inferior and Central Mound Pedicle Breast Reduction in Gigantomastia: A Safe Alternative?

Abstract

Background

Gigantomastia has been described as excessive hypertrophy of the female breast, however, there is controversy about the weight of the excised tissue. In the literature, resected tissue amount between 1,000 g and 2,000 g per breast is reported as gigantomastia. Aims: The aim of this study is to evaluate the results of the patients who underwent reduction mammaplasty with a resection amount of at least 1,000 g or above via inferior pyramidal pedicle breast reduction technique retrospectively. Patients and methods: Between September 2015 and September 2018, 72 patients operated for gigantomastia were included in the study. All patients underwent reduction mammaplasty by inferior pyramidal pedicle and inverted Tscar technique. The pedicle base was not detached from the posterior region of the pectoralis fascia. Patient demographics, advantages, drawbacks and results of this technique were analyzed. All procedures were performed at a single institution by the senior author of this article. Results: The most common complication was hypertrophic scar (4.16%). At least 1-year follow-up revealed satisfactory results in terms of both esthetic and functional aspects. The average satisfaction rate was 88% (score: 4.38 = satisfied/very satisfied). Conclusion: Inferior pyramidal pedicle technique is a versatile reduction mammaplasty technique that can be applied in various breast sizes. It provides important advantages of preserving the nipple sensation and lactation potential with low complication rates.

Keywords:

• plastic surgery
• surgical technique
• breast
• gigantomastia
• breast hypertrophy
• inferior pyramidal pedicle

DECLARATION OF INTEREST

All of the authors declare that they have all participated in the design, execution, and analysis of the paper, and that they have approved the final version. Additionally, there are no conflicts of interest in connection with this paper, and the material described is not under publication or consideration for publication elsewhere.