Aesthetic Plastic Surgery

, Volume 37, Issue 4, pp 762–766 | Cite as

Treatment of a Supernumerary Large Breast with Medial Pedicle Reduction Mammaplasty

  • Anı CinpolatEmail author
  • Gamze Bektas
  • Tamer Seyhan
  • Ulvan Ozad
  • O. Koray Coskunfirat
Case Report Breast


Accessory breast tissues including nipples, areolas, and glandular tissue may develop on the chest in addition to two normal breasts. An accessory breast with a complete ductal system, areola, and nipple is termed a “supernumerary breast.” Supernumerary nipples are fairly common, but complete supernumerary breasts are rare. This report describes an 18-year-old woman who presented with a complete supernumerary breast including a nipple–areola complex located on the upper outer quadrant of her left breast and causing severe breast asymmetry. She was referred to the authors for aesthetic reasons. Unilateral reduction mammaplasty was performed to remove the supernumerary breast and correct the breast asymmetry. The medial pedicle Wise technique was used for en bloc resection of the ectopic breast, including the nipple–areola complex together with the upper outer breast quadrant. The woman’s postoperative course was uneventful. At 8 months after surgery, she was very satisfied with the results. Ectopic breast tissue can be treated by a variety of methods such as liposuction or excision. However, breast deformation because of a complete supernumerary breast is very rare, and research on the treatment of such patients is lacking. No reports describing surgical treatment for this condition were identified in the literature. The authors suggest that unilateral breast reduction is the most appropriate treatment, allowing excision of the accessory tissues, with the best possible cosmetic outcome.

Level of Evidence V

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Accessory breast Breast reduction Polythelia Supernumerary breast Surgical technique 


Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013

Authors and Affiliations

  • Anı Cinpolat
    • 1
    Email author
  • Gamze Bektas
    • 2
  • Tamer Seyhan
    • 1
  • Ulvan Ozad
    • 3
  • O. Koray Coskunfirat
    • 4
  1. 1.Department of Plastic, Reconstructive, and Aesthetic SurgeryAdana Numune Training and Research HospitalAdanaTurkey
  2. 2.Department of Plastic, Reconstructive, and Aesthetic SurgeryTatvan State HospitalBitlisTurkey
  3. 3.Barts and the LondonQueen Mary University of LondonLondonUK
  4. 4.Department of Plastic, Reconstructive, and Aesthetic SurgeryAkdeniz University School of MedicineAntalyaTurkey

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