Definitions of Abnormal Breast Size and Asymmetry: A Cohort Study of 400 Women

Stahl, Stéphane; Dannehl, Dominik; Daigeler, Adrien; Jorge, Cristina; Brendlin, Andreas; Hagen, Florian; Stahl, Adelana Santos; Feng, You-Shan; Nikolaou, Konstantin; Estler, Arne

doi:10.1007/s00266-023-03400-4

Cited by 4 publications

(2 citation statements)

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“…In this study, the calculated mean age of participants was 47.95 years, comparable to findings from other studies [4,19]. Furthermore, patients' mean preoperative body mass index (BMI) was 28.52 kg/m 2 , consistent with the results of Grover et al [20], who reported a mean perioperative BMI of 29.6 kg/m 2 .…”

Section: Discussionsupporting

confidence: 89%

“…Breast hypertrophy serves as an overarching term encompassing both macromastia and gigantomastia, which represent varying degrees of excessive breast tissue growth, each resulting in distinct clinical implications [3][4][5]. Gigantomastia is broadly defined as a condition necessitating the removal of more than 2500 g of breast tissue, while macromastia is defined as a condition necessitating the removal of less than 2500 g of breast tissue [6,7].…”

Section: Introductionmentioning

confidence: 99%

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The Modified Superomedial Pedicle Breast Reduction Technique for Cases with SN–N Distance Exceeding 33 cm

Panopoulou,

Petrou,

Savva

et al. 2024

Aesth Plast Surg

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Background Symptomatic breast hypertrophy affects the quality of life of a large number of women globally. Many reduction mammoplasty techniques have been described for patients with breast hypertrophy. The aim of this study was to provide our clinic’s experience in utilizing the modified superomedial pedicle breast reduction technique in specific patients suffering from breast hypertrophy, with sternal notch-to-nipple distance of more than 33 cm. Method Our study included twenty patients who underwent, from January 2022 to December 2023, the modified superomedial pedicle breast reduction technique due to symptomatic breast hypertrophy with sternal notch-to-nipple distance of more than 33 cm in the Plastic and Reconstructive Surgery Department at Nicosia General Hospital in Cyprus. Patient demographics, comorbidities, pre- and postoperative breast anthropometric measurements and surgical complications were recorded and analyzed. Results The average age at the time of the reduction was 48 years. The mean preoperative body mass index was 28.52 kg/m2. Patients’ comorbidities included one (5%) patient with diabetes, seven (35%) with obesity and three (15%) with hypertension. The mean preoperative sternal notch-to-nipple distance was 35.25 cm for the right breast and 34.90 cm for the left breast, while the mean postoperative was 20.65 cm for both breasts. The total mean resection weight of both breasts was 1643.45 g. Surgical complications were minor including two (10%) cases of local hematoma and one (5%) case of T-Junction wound breakdown. All patients were relieved from their preoperative symptoms and were satisfied with the final result. Conclusion Our modified superomedial pedicle technique is a safe, effective and versatile pedicle to be used with many advantages, in specific patients suffering from breast hypertrophy with sternal notch-to-nipple distance of more than 33 cm, including its shape and rotational abilities, viability of the nipple and excellent outcome of glandular plication and breast reshaping. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Section: Discussionsupporting

confidence: 89%