AI Article Synopsis

  • The authors improved the classic free nipple graft reduction mammaplasty technique by using superior and inferior pyramidal dermoglandular flaps to enhance breast shape and projection.
  • They treated six patients (12 breasts) with gigantomastia, resulting in aesthetically pleasing, conically shaped breasts with good projection.
  • The modified technique is straightforward to perform and allows for a quick change in approach if the nipple's blood supply appears compromised during surgery.

Article Abstract

Classic free nipple graft reduction mammaplasty often yields flat, boxy breasts with poor projection. The authors modified this technique using superior and inferior pyramidal dermoglandular flaps to increase the fullness and projection of the breast. Six patients (12 breasts) with gigantomastia underwent breast reduction by this method. The results were aesthetically pleasing, with conically shaped breasts and good projection. The technique is easy to perform and it is possible to switch from pedicled nipple-areolar transposition to this method intraoperatively in patients in whom perfusion of the nipple is questionable.

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http://dx.doi.org/10.1097/00000637-200211000-00011DOI Listing

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