McKissock’s Reduction Mammaplasty Revisited: A Case Series Study with 12-months Follow-up

Abozeid, Mohamed F; Tahseen, Hossam; Kenawi, Inji

doi:10.1097/gox.0000000000001791

Cited by 4 publications

(2 citation statements)

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“…Gaye 24 and Palvé 26 report in their respective studies a predominance of bilateral gigantomastia. The mean breast axis in our study is similar to that reported by Abozeid, 27 in a case series study with 12-month follow-up of the Mac Kissock reduction plasty revisited, who found a similar result, i.e. 34.12 cm, thus reflecting the size of the gigantomastia.…”

Section: Commentssupporting

confidence: 90%

Surgery for gigantomastia at the AKANDA Army Training Hospital: Analysis of 4 cases and literature review

Pamphile,

Ulysse,

Opheelia

et al. 2023

OGIJ

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Objective: This study aims to evaluate the outcomes of surgical interventions for gigantomastia in at the obstetrics and gynaecology department of the Hôpital d'Instruction des Armées d'Akanda (HIAA). Patients and Methods: This was a prospective, descriptive study conducted from 1 June 2019 to 31 October 2022, Inclusion criteria comprised women who seeked consultation at HIAA due to unilateral or bilateral gigantomastia, have a benign primary or tumoral gigantomastia. Participants were required to consent to a minimum follow-up period of 6 months post-operation by the HIAA medical team and be available for telephone follow-ups beyond the initial 6 months. Results: The prevalence of gigantomastia was 1.05% (10/952). The mean age of the patients was 27 years. The mean BMI was 27.7 kg/m2. All patients wore a very large (≥D) cup size. The mean breast axis was 36.25 cm for straight breasts. The most frequently performed method was the inverted T with superior-internal flap (57%). The average weight of the operative parts was 1350 g for right breasts. Only one patient had delayed skin wound closure. Only one patient had a suture disunion. Regarding the plastic result, two patients were classified <<average result>> and the other two (50%) <<good result>>. Two patients report << very satisfied>>and the other two were satisfied. Conclusion: This study presented the preliminary results of an ongoing study at the HIAA. The inverted T technique with syuperomedial flap was the most commonly used, with few early complications. The plastic results after the 6th month are appreciable.

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Section: Commentssupporting

confidence: 90%

Surgery for gigantomastia at the AKANDA Army Training Hospital: Analysis of 4 cases and literature review

Pamphile,

Ulysse,

Opheelia

et al. 2023

OGIJ

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“…The mean duration of the procedure was 62.12 ± 10.3 minutes, which is the shortest among the other studies [ 1 – 32 ]. The majority of studies reported operative times ranging from 2 hours [ 20 , 27 , 28 ] to almost four hours [ 17 – 29 ]. It is widely recognized that an extended operative time is associated with an increased risk of various complications, regardless of whether low or high-intensity electrocautery is utilized [ 8 – 31 ].…”

Section: Discussionmentioning

confidence: 99%

Superomedial-Posterior Pedicle-Based Reduction Mammaplasty: Evaluation of Effectiveness and BREAST-Q Outcomes of a Rapid and Safer Technique

La Padula,

Mernier,

Larcher

et al. 2023

Aesth Plast Surg

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Introduction Breast hypertrophy, a common pathological condition, often requires surgical intervention to alleviate musculoskeletal pain and improve patients’ quality of life. Various techniques have been developed for breast reduction, each with its own advantages and complications. The primary aim of this study is to evaluate the efficacy, safety, and patient-reported outcomes of the authors technique: the Superomedial-Posterior Pedicle-Based Reduction Mammaplasty. Material and Methods A prospective study was conducted on 912 patients who underwent breast reduction surgery between November 2012 and July 2020. The surgical technique involved preserving all glandular tissue from the areola to the pectoralis major muscle using the superomedial-posterior pedicle. The patients’ demographic data, operative details, complications, breast-related quality of life (measured using the Breast-Q questionnaire), and nipple–areola complex sensitivity were analyzed. Results The average operative time was 62.12 ± 10.3 minutes. Complications included minor wound dehiscence (4.05%) and hematoma (1.2%), with no cases of nipple–areola complex necrosis. Nipple–areola sensitivity was fully restored in all patients at the 2-year follow-up. Patient satisfaction with the procedure was high with a statistically significant difference observed between pre- and postoperative scores (p < 0.001) of the Breast-Q questionnaire. Conclusion Authors technique offers reliable vascularization and innervation of the nipple–areola complex and achieves satisfactory aesthetic outcomes. It is associated with shorter operative times compared to other techniques reported in the literature. The Superomedial-Posterior Pedicle-Based Reduction Mammaplasty represents a safe and effective method for breast reduction surgery, providing significant benefits to patients with breast hypertrophy. Level of Evidence I 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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Restoring the upper pole with fat grafting in reduction mammoplasty: an anthropometric evaluation

et al. 2020

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McKissock’s Reduction Mammaplasty Revisited: A Case Series Study with 12-months Follow-up

Abstract: Supplemental Digital Content is available in the text.

Cited by 4 publications

References 21 publications

Surgery for gigantomastia at the AKANDA Army Training Hospital: Analysis of 4 cases and literature review

Surgery for gigantomastia at the AKANDA Army Training Hospital: Analysis of 4 cases and literature review

Superomedial-Posterior Pedicle-Based Reduction Mammaplasty: Evaluation of Effectiveness and BREAST-Q Outcomes of a Rapid and Safer Technique

Restoring the upper pole with fat grafting in reduction mammoplasty: an anthropometric evaluation

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