Superior Pedicle Reduction Mammoplasty: A Safe and Reliable Tecnique in Breast Hypertrophy

Introduction: Juvenile hypertrophy of the breast (JHB) is a benign condition that can lead to gigantomastia in adolescence. The development of breast enlargement in adolescence can cause both physical and psychosocial problems. Therefore, appropriate investigation and proper management at an early stage of the disease are very important. One of the treatment modalities is breast reduction surgery which ideal and offers an improvement in the quality of life. Case Presentation: A 13-year-old female with massive bilateral breast enlargement for a period of 8 months. The patient also complained of severe back pain and neck discomfort since her breast progressively enlarged. Psychosocial problems were recorded. Right breast reduction was performed and closed with inverted-T mammoplasty. The post-operative period was uneventful, and the patient was discharged on day 5 after the operation. Conclusions: Reduction mammoplasty is well accepted by adolescents with juvenile breast hypertrophy and can improve physical and psychological outcomes.

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Therapeutic reduction mammoplasty techniques in management of breast cancer in large-breasted females – a comparative study between inferior and superior pedicle reduction mammoplasty

The Egyptian Journal of Surgery ◽

10.4103/ejs.ejs_89_17 ◽

2018 ◽

Vol 37 (2) ◽

pp. 139

Author(s):

SheriefM Mohsen

Keyword(s):

Breast Cancer ◽

Comparative Study ◽

Reduction Mammoplasty ◽

Superior Pedicle

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Superomedial Reduction Mammoplasty Affects Patients’ Ability to Breastfeed in a Distinct Manner: A Multicenter Study of 303 Patients

Aesthetic Surgery Journal ◽

10.1093/asj/sjab263 ◽

2021 ◽

Author(s):

Mads Gustaf Jørgensen ◽

Elin Albertsdottir ◽

Farima Dalaei ◽

Jørgen Hesselfeldt-Nielsen ◽

Volker-Jürgen Schmidt ◽

...

Keyword(s):

Reduction Mammoplasty ◽

Cross Sectional Study ◽

Demographic Information ◽

Childbearing Age ◽

Breast Hypertrophy ◽

Cross Sectional ◽

Breast Parenchyma ◽

Inferior Portion ◽

Before And After ◽

Tertiary Hospitals

Abstract Background Breast reduction using the superomedial technique can relieve symptoms related to breast hypertrophy; however, as the lateral and inferior portion of the breast parenchyma is removed and displaced, reduction mammoplasty may lead to an impaired ability to breastfeed. Objectives To assess the patient's ability to breastfeed after superomedial reduction mammoplasty. Methods This was a cross-sectional study including patients treated with superomedial reduction mammoplasty between January 2009 and December 2018 at two tertiary hospitals in Denmark. Patients were stratified into two cohorts, depending on whether they had childbirth before or after their reduction mammoplasty. Patients were sent specific questionnaires regarding maternity, breastfeeding before and after reduction mammoplasty, nipple sensitivity, and current demographic information. Operative details were retrieved from electronic medical records. Results We identified 303 patients eligible for this study (37 patients giving birth after and 266 before reduction mammoplasty). Fewer patients were able to breastfeed exclusively for the recommended six months after reduction mammoplasty (2/37 = 5.41%) compared to before (92/266 = 34.59%, p<0.05). Also, fewer patients were able to breastfeed at all after reduction mammoplasty (18/37 = 48.64%) compared to before mammoplasty (241/266 = 90.60%, p<0.001). Patients unable to breastfeed after reduction mammoplasty had less nipple sensitivity and more breast tissue excised (p<0.05). Conclusions Superomedial reduction mammoplasty seems to impair the patient's ability to breastfeed exclusively for the recommended 6 months. Patients of childbearing age considering reduction mammoplasty should be made aware that reduction mammoplasty reduces their breastfeeding capacity.

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Unusual Keloid Formation at the Mammostat Location Following Breast Reduction

The American Journal of Cosmetic Surgery ◽

10.1177/0748806817701219 ◽

2017 ◽

Vol 34 (3) ◽

pp. 118-122

Author(s):

L. Adjadj ◽

T. Schmitt ◽

C. Fenoll ◽

R. Makhoul ◽

P. Levan

Keyword(s):

High Risk ◽

Risk Ratio ◽

Revision Surgery ◽

Breast Reduction ◽

Reduction Mammoplasty ◽

Breast Hypertrophy ◽

Keloid Scarring ◽

Keloid Scars ◽

Keloid Formation ◽

Intralesional Injections

We report the case of a patient who developed keloid scarring associated with Mammostat-induced skin trauma during reduction mammoplasty. A 32-year-old patient consulted for breast hypertrophy and developed from the fourth postoperative month significant keloid scars on skin shears caused by dermal stretching techniques used during de-epithelialization. The Mammostat-related scars were keloid, while those found on old skin incisions were only enlarged and slightly hypertrophic. We followed up this patient for 7 years. During this time, she received the following local treatments: scar kneading, silicone dressings, intralesional injections of corticosteroids, and potent dermocorticosteroids. After balancing the benefit/risk ratio of a possible revision surgery for resection and plasty of her keloid scars, we opted for therapeutic abstention. In patients at high risk of keloids, we recommend a soft de-epithelialization causing no skin shear, performed by manual tensioning of the dermis.

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Management of Breast Hypertrophy: our experience

The Journal of Medical Sciences ◽

10.5005/jp-journals-10045-0007 ◽

2015 ◽

Vol 1 (1) ◽

pp. 21-25

Author(s):

Prema Dhanraj ◽

MS Mahesh ◽

N Naveen ◽

K Ramesh Babu ◽

Rajashekar Jade

Keyword(s):

Chest Wall ◽

Surgical Procedure ◽

Breast Tissue ◽

Breast Reduction ◽

Reduction Mammoplasty ◽

Plastic Surgeon ◽

Breast Hypertrophy ◽

Breast Reduction Surgery ◽

Excess Skin ◽

Benign Disorders

ABSTRACT Breast hypertrophy and sagging of the breast are two different benign disorders of breast that can occur during various stages of women's life from adolescence to menopause. A woman can seek a plastic surgeon for breast reduction for reasons both physical and psychological. Breast reduction surgery or reduction mammoplasty is a plastic surgical procedure by which the sizes of large breasts are reduced. During this procedure, excess skin, fat and breast tissue are removed. The procedure recreates a breast with the desired appearance, contour and volume. Breast lift operation/mastopexy is a procedure where only skin is removed with repositioning of the nipple higher on the chest wall and is the procedure of choice in small but sagging breast. We present a series of five cases, two presenting with virginal hypertrophy, one with gestational hypertrophy and other two with postmenopausal sagging and hypertrophy. Four patients underwent reduction mammoplasty and one patient underwent mastopexy. None of our patients complained of any problems and were satisfied with the results. How to cite this article Dhanraj P, Mahesh MS, Naveen N, Babu KR, Jade R. Management of Breast Hypertrophy: Our Experience. J Med Sci 2015;1(1):21-25.

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