Reduction Mammoplasty Using the McKissock Technique With a Free Nipple Graft: A Safe Approach.

Mammary hypertrophy, or macromastia, is an increase in breast tissue volume due to multiple etiologies and still unknown pathophysiology. We report the case of a 45-year-old patient with juvenile macromastia, which caused cervical pain and decreased quality of life. It was decided to perform a reduction mammoplasty with a modified McKissock technique with a free nipple graft; the resected glandular tissue was 1039 grams in the right breast and 1029 grams in the left breast. An adequate projection of the upper pole was achieved with a good aesthetic result and clinical improvement of the patient.