TITLE:
Operative Technique for Correction of Gigantomastia, Using the Superior Pedicle, with Special Care for the Nipple-Papillary Grafts: A 13-Year Retrospective Study
AUTHORS:
José Humberto Cardoso Resende, Lucilia Feliciano Marques di Carlantônio, Luiz Célio Martins Freitas, Teresa Tonini, Nébia Maria Almeida de Figueiredo, Luiz Carlos Santiago
KEYWORDS:
Mammoplasty, Gigantomastia, Resende’s Technique, Surgical Flaps, Bariatric Surgery, Obesity
JOURNAL NAME:
Modern Plastic Surgery,
Vol.5 No.3,
July
27,
2015
ABSTRACT: This is a retrospective study on gigantomastia correction in obesity
facing the technique of nipple-areolar grafts and its complexity. The main
question is the technical-surgical care during its execution aiming to achieve
reparative results that can return to these women the desire to live with
better quality of life and health. Method: We performed a retrospective study
of all obese patients with severe gigantomastia who underwent reduction mammaplasty
with an operative technique using the superior pedicle, with special care for
the nipple-papillary grafts. The study was carried out at a single institution
between 2001 and 2013, in a total of 30 cases. This operative technique was
presented at first time in 1980, with no changes up to now. We emphasized the
perfect decortication of the areola and nipples until they were translucent
after the maneuvers of Schwartzman and subsequent grafts operated in both
breasts. Results: Results were considered satisfactory, from the reparative and
aesthetic point of view, emphasizing the degree of improvement observed in
women undergoing technique. Discussion: We can say that during all this time of
aesthetic and therapeutic-restorative surgery, due to its realization in a
single surgical time, there was big impact on the aesthetics of patients and on
their families, even taking into account possible complications in the
post-operative. Conclusion: The superior pedicle technique, performed as
described here, is a safe and reliable procedure in patients with severe
gigantomastia.