Surgical Outcomes of Gigantomastia Breast Reduction Superomedial Pedicle Technique

Abstract

Our study shows that SMP reduction mammoplasty in patients with gigantomastia is a safe and effective reduction mammoplasty technique and is associated with low risk for NAC necrosis with good breast shape.

Operative Technique for Correction of Gigantomastia, Using the Superior Pedicle, with Special Care for the Nipple-Papillary Grafts: A 13-Year Retrospective Study

“…The pedicles procedures have the unquestionable advantage of producing a high degree of reliability and safety for the nipple areola complex, in terms of both sensation and blood supply [33]. Our results in this number of cases are compatible with a previous report.…”

“…Although currently most of the breast reduction techniques have focused their interest on the shape of the breast as well as limiting the cutaneous scars, it is a challenge to prevent the extended scars in patients with severe gigantomastia [33]- [38].…”

“…Of course, it is obvious merit goal, but our personal experience does not allow it to be seen without reservation. However, the recent literature has reiterated that possibility [33]- [35].…”

Cosmetic Sequelae After Oncoplastic Surgery of the Breast. Classification and Factors for Prevention

“…The incidence of necrosis of the NAC following a vertical mammoplasty for cancer is similar to the incidence seen in aesthetic surgeries, 20 ranging from 0% to 10%, 21 although the risk increases in women with gigantomastia. 22 Necrosis due to an insufficient venous drainage is the determining factor in most cases of necrosis of the NAC and, in most instances, it is related to planning an inferior pedicle, since in those cases the NAC is disconnected from the breast's superficial drainage, thus limiting the venous return to the intercostal perforating vessels. On the contrary, the upper pedicle preserves the superficial vein network, ensuring the drainage of the NAC and reducing the likelihood of venous necrosis.…”

The arterial supply of the nipple areola complex (NAC) and its relations: an analysis of angiographic CT imaging for breast pedicle design

“…However, certain populations do not benefit from such abundant vascular supply to the pedicle and, as such, are at higher risk of vascular complications [3]. These include patients requiring breast reduction for gigantomastia and those undergoing secondary reductions, where the primary reduction pedicle design is unknown [18,19]. As evident from our data, CT provided a valuable utility in describing the blood supply to the NAC.…”