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Familial Severe Gigantomastia and Reduction with the Free Nipple Graft Vertical Mammoplasty Technique: Report of Two Cases

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Abstract

Background.

Gigantomastia, characterized by massive breast enlargement during adolescence or pregnancy, is thought to be caused by an abnormal and excessive end organ response to a normal hormonal milieu. The amputation technique with the free nipple–areola graft is the mainstay for severe macromastia, but it has been criticized because it results in a flattened, nonaesthetic breast with poor projection. This report presents two sisters with unusual, excessive breast enlargement.

Methods.

The measured distance from the sternal notch to the nipple was 50 cm for the first case and 55 cm for the second case. The free nipple graft transplantation based on the vertical mammoplasty technique was used, and an average of 4,200 g of breast tissue per breast was removed. To increase breast projection, superior dermoglandular flaps were used

Results.

The follow-up period was 24 months. The patients had long-lasting, pronounced breast mound projection, and the level of satisfaction for both cases was very high.

Conclusion

The ideal geometric structure of the breast is rather conical, and the authors believe that reshaping the breast tissue in a vertical plane using the vertical mammoplasty technique may be more effective in the long term and may provide better projection.

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References

  1. Abboud M, Vadoud-Seyedi J, De Mey A, Cukierfajn M, Lejour M: Incidence of calcifications in the breast after surgical reduction and liposuction. Plast Reconstr Surg 96:620, 1995

    PubMed  Google Scholar 

  2. Abramson DL. Increasing projection in patients undergoing free nipple graft reduction mammoplasty. Aesth Plast Surg 23:282–284, 1999

    Google Scholar 

  3. Aydin H, Bilgin-Karabulut A, Tumerdem B: Free nipple reduction mammaplasty with a horizontal scar in high-risk patients. Aesth Plast Surg 26:457–460, 2002

    Google Scholar 

  4. Bostwick J: Reduction mammoplasty, free nipple graft. In: J Bostwick (eds). Plastic and reconstructive breast surgery. Quality Medical Publishing: St Louis, pp. 377–386, 1990

    Google Scholar 

  5. Casas LA, Byun MY, Depoli PA: Maximizing breast projection after free nipple graft reduction mammaplasty. Plast Reconstr Surg 107:955–960, 2001

    PubMed  Google Scholar 

  6. Gradinger GP Reduction mammoplasty utilizing nipple–areola transplantation. Clin Plast Surg 15:641, 1988

    PubMed  Google Scholar 

  7. LaTrenta GS, Hoffman LA: Breast reduction. In: Rees TD, LaTrenta GS (eds) Aesthetic plastic surgery. WB Saunders: Philadelphia, pp. 932–933, 1994

    Google Scholar 

  8. Lejour M. Vertical mammoplasty for breast hypertrophy and ptosis. Op Tech Plast Reconstr Surg 3:189–198, 1996

    Google Scholar 

  9. Letterman G, Schurter M: The effects of mammary hypertrophy on the skeletal system. Ann Plast Surg 5:425–431, 1980

    PubMed  Google Scholar 

  10. MacDougal BA, Shadid EA: Reduction mammoplasty: A comparison of techniques. J Okla State Med Assoc 67:82–90, 1996

    Google Scholar 

  11. Maliniac JW. Critical analysis of mammectomy and free transplantation of the nipple in mammaplasty. Am J Surg 65:364, 1944

    Google Scholar 

  12. Miller CL, Feig SA, Fox IMIV: Mammographic changes after reduction mammoplasty. AJR Am J Roentgenol 149:35, 1987

    PubMed  Google Scholar 

  13. Mitnick J, Roses DF, Harris MN: Differentiation of postsurgical changes from carcinoma of the breast. Surg Gynecol Obstet 166:549, 1988

    PubMed  Google Scholar 

  14. Mitnick JS, Roses DF, Harris MN, Colen SR: Calcifications of the breast after reduction mammoplasty. Surg Gynecol Obstet 171:409, 1990

    PubMed  Google Scholar 

  15. Ozerdem OR, Anlatici R, Maral T, Demiralay A: Modified free nipple graft reduction mammaplasty to increase breast projection with superior and inferior dermoglandular flaps. Ann Plast Surg 49:506–510, 2002

    PubMed  Google Scholar 

  16. Rubin LR: Surgical treatment of the massive hypertrophic breast. In: Georgiade ND (eds). Reconstructive breast surgery. Mosby: St Louis, pp. 322–333, 1976

    Google Scholar 

  17. Thorek M. Possibilities in the reconstruction of the human form. N Y Med J 116:572, 1922

    Google Scholar 

Download references

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Authors and Affiliations

  1. Aykut Misirlioglu, Semsettin Gunalty Cad.,Ozgur Kule Ap. 196-30 Erenkoy, Istanbul, 34738, 34738, Turkey

    Aykut Misirlioglu M.D. & Tayfun Akoz M.D.

Authors
  1. Aykut Misirlioglu M.D.
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  2. Tayfun Akoz M.D.
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Correspondence to Aykut Misirlioglu M.D..

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Misirlioglu, A., Akoz, T. Familial Severe Gigantomastia and Reduction with the Free Nipple Graft Vertical Mammoplasty Technique: Report of Two Cases. Aesth Plast Surg 29, 205–209 (2005). https://doi.org/10.1007/s00266-004-0134-1

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  • DOI: https://doi.org/10.1007/s00266-004-0134-1

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