Central Pedicle Reduction in Gigantomastia Without Free Nipple Graft

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dc.contributor.authorKaracor-Altuntas, Zeynep
dc.contributor.authorDadaci, Mehmet
dc.contributor.authorInce, Bilsev
dc.contributor.authorKaramese, Mehtap
dc.contributor.authorSavaci, Nedim
dc.date.accessioned2024-02-23T14:21:20Z
dc.date.available2024-02-23T14:21:20Z
dc.date.issued2016
dc.departmentNEÜen_US
dc.description.abstractBackground Various pedicle techniques have been described in breast reduction surgery. However, in cases of massive hypertrophy, the free nipple graft technique is still being performed by some surgeons out of fear of losing the nipple-areolar complex (NAC). As such, we evaluated patients with severe gigantomastia who underwent the central pedicle horizontal scar reduction mammaplasty technique. Methods The records of 257 patients who underwent the central pedicle reduction technique were retrospectively reviewed. The demographic properties of the patients and the distances from the midclavicular point to the nipple were recorded. Patients whose distance from the midclavicular point to both nipple areolar complexes (NACs) was 38 cm or greater were included in this study. Resection weights and postoperative complications were evaluated. Results The distance from the midclavicular point to both NACs was 38 cm or greater in 53 patients (106 breasts). The age range of the patients was 17 to 73 years, and the mean body mass index was 39.6 kg/m(2). The range of distances from the midclavicular point to the nipple was 38 to 52 cm. The weight of the breast tissue excised ranged between 1450 and 2785 g. None of the patients experienced total nipple loss postoperatively, and all of the patients were satisfied with the aesthetic results. Conclusion We were able to reduce all of the breasts safely, without using the free nipple grafting technique, even in very large breasts. This study shows that the central pedicle horizontal scar reduction technique is a very safe and effective method for use in massive reductions. Therefore, we strongly recommend using the central pedicle reduction mammaplasty technique in cases of gigantomastia.en_US
dc.identifier.doi10.1097/SAP.0000000000000388
dc.identifier.endpage387en_US
dc.identifier.issn0148-7043
dc.identifier.issn1536-3708
dc.identifier.issue4en_US
dc.identifier.pmid26954750en_US
dc.identifier.scopus2-s2.0-84960158135en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage383en_US
dc.identifier.urihttps://doi.org/10.1097/SAP.0000000000000388
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13546
dc.identifier.volume76en_US
dc.identifier.wosWOS:000372746700006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnnals Of Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCentral Pedicle Horizontal Scar Reduction Mammaplastyen_US
dc.subjectGigantomastiaen_US
dc.titleCentral Pedicle Reduction in Gigantomastia Without Free Nipple Graften_US
dc.typeArticleen_US

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