Aesthetic Plastic Surgery

, Volume 36, Issue 2, pp 355–358 | Cite as

Breast Reshaping with Dermaglandular Flaps After Giant Lipoma Removal: Versatility of Oncoplastic Techniques

  • Stefano BonomiEmail author
  • André Salval
  • Fernanda Settembrini
  • Gaetano Musumarra
  • Vincenzo Rapisarda
Case Report


Lipomas of the breast are benign lesions that do not raise great interest in the literature and their incidence is unclear. They usually are small, benign soft tissue tumors of fat cells that can be treated by simple excision. Although lipoma is a banal condition, it often causes diagnostic and therapeutic uncertainty. The first reason for this is the normal fatty composition of the breast. Second, it may be difficult to distinguish a lipoma from other benign or malignant lumps. This report presents a rare case involving giant lipoma of the breast that compromised most of the mass of the breast. After resection, the remaining breast was reshaped using multiple dermaglandular flaps to restore the breast mound, and contralateral breast mammaplasty was performed for symmetry. This case is a good illustration of the oncoplastic reconstruction options available after wide local excision.


Breast asymmetry Dermaglandular flaps Giant lipoma NAC pedicle Oncoplastic technique 



The authors acknowledge Dr. Flavia Sorbi for assistance in editing this article.


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Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2011

Authors and Affiliations

  • Stefano Bonomi
    • 1
    Email author
  • André Salval
    • 1
  • Fernanda Settembrini
    • 1
  • Gaetano Musumarra
    • 1
  • Vincenzo Rapisarda
    • 1
  1. 1.Department of Plastic Reconstructive Surgery and Burn UnitOspedale Niguarda Ca’ GrandaMilanItaly

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