scholarly journals Giant Breast Hypertrophy in Juvenile: A Rare Case

2020 ◽  
Vol 14 (2) ◽  
pp. 60
Author(s):  
Dila Junita ◽  
Edmond Rukmana Wikanta
Keyword(s):  
Breast Reduction ◽  
Early Stage ◽  
Psychosocial Problems ◽  
Reduction Mammoplasty ◽  
Treatment Modalities ◽  
Breast Hypertrophy ◽  
Breast Reduction Surgery ◽  
Benign Condition ◽  
Breast Enlargement ◽  
Severe Back Pain

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.

scholarly journals Management of Breast Hypertrophy: our experience

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.

Frequency of Headaches in Macromastia Patients and Relief After Reduction Mammoplasty

2021 ◽  
Author(s):  
Bilgen Can
Keyword(s):  
Breast Tissue ◽  
Breast Reduction ◽  
Reduction Mammoplasty ◽  
Chi Square ◽  
Level Of Evidence ◽  
Breast Reduction Surgery ◽  
Tissue Removal ◽  
Headache Relief ◽  
Kolmogorov Smirnov ◽  
Relief Rate

Abstract Background Several studies have reported that neck, back, and shoulder pain can be reduced after macromastia. However, only 1 study has specifically investigated the relation between macromastia and headaches. Objectives This study aimed to determine the frequency of headaches in patients with macromastia by examining a sample from our clinic and to determine whether the patients experienced headache relief following breast reduction surgery. Methods One hundred patients, out of 456 patients who met the criteria, were contacted by telephone and administered a questionnaire. Statistical analysis was performed with SPSS version 17.0. Normal distribution of the variables was examined by histograms and Kolmogorov-Smirnov tests. Pearson’s chi-square and Fisher’s exact tests were used to compare groups. The Mann-Whitney U test was used to evaluate nonparametric variables between the patients who has 1500 grams or less breast tissue removed and the patients more than 1500 grams breast tissue removed. Results The incidence of headaches in patients with macromastia was found to be 29%. Among the patients with headaches, 65.52% reported relief after surgery. The relief rate for headaches was found to be associated with the amount of tissue removed. Conclusions The incidence of headaches increased in patients with macromastia compared with the general population, and patients reported headache relief after surgery. In addition, as the amount of tissue removal increased, the relief rate for headaches after surgery also increased. Although additional studies are essential, preoperative headaches should be evaluated in breast reduction patients, and the removal of larger amounts of breast tissue should be considered among patients who report headaches. Level of Evidence: 4

Reduction Mammoplasty

2019 ◽  
pp. 649-664
Author(s):  
M. Mark Mofid ◽  
Gehaan D’Souza ◽  
Benjamin E. Cohen ◽  
Michael E. Ciaravino
Keyword(s):  
Patient Satisfaction ◽  
Breast Reduction ◽  
Reduction Mammaplasty ◽  
Well Being ◽  
The United States ◽  
Reduction Mammoplasty ◽  
Strongly Correlated ◽  
Breast Reduction Surgery ◽  
Developmental Factors ◽  
Wise Pattern

Breast reduction is one of the more common plastic surgery operations performed in the United States. There were 1,00,000 operations performed in 2015. The etiology of breast hypertrophy is unclear and likely involves some combination of hormonal, genetic, and developmental factors. Patients with mammary hypertrophy complain of intertriginous infections, back and shoulder pain, shoulder notching, physical inactivity, dissatisfaction with breast appearance, poor sexual well-being, and poor psychological well-being. The goals of breast reduction surgery are to reduce overall breast volume, maintain nipple-areola viability, and achieve a shape that is aesthetically pleasing. Breast reduction improves patient satisfaction with breast appearance as well as physical and psychosocial well-being. Overall patient satisfaction is most strongly correlated with happiness with the appearance of the breasts. A number of techniques have been developed that effectively meet these goals. Three techniques are described in this chapter: inferior pedicle Wise pattern reduction mammaplasty, vertical pattern breast reduction, and partial breast amputation with free nipple-areola grafting.

Unusual Keloid Formation at the Mammostat Location Following Breast Reduction

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.

scholarly journals Does breast reduction surgery improve health-related quality of life? A prospective cohort study in Australian women

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e031804
Author(s):  
Tamara Crittenden ◽  
David I Watson ◽  
Julie Ratcliffe ◽  
Philip A Griffin ◽  
Nicola R Dean
Keyword(s):  
Quality Of Life ◽  
Breast Reduction ◽  
Health Related Quality ◽  
Breast Hypertrophy ◽  
Breast Reduction Surgery ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

ObjectivesTo assess the health burden of breast hypertrophy and the comparative effectiveness of breast reduction surgery in improving health-related quality of life.DesignProspective cohort study.SettingA major public tertiary care hospital in Australia.ParticipantsWomen with symptomatic breast hypertrophy who underwent breast reduction surgery were followed for 12 months. A comparison control cohort comprised women with breast hypertrophy who did not undergo surgery.InterventionsBilateral breast reduction surgery for women in the surgical cohort.Main outcome measuresThe primary outcome measure was health-related quality of life measured preoperatively and at 3, 6 and 12 months postoperatively using the Short Form-36 (SF-36) questionnaire. Secondary outcome measures included post-surgical complications.Results209 patients in the surgical cohort completed questionnaires before and after surgery. 124 patients in the control hypertrophy cohort completed baseline and 12-month follow-up questionnaires. At baseline, both groups had significantly lower scores compared with population norms across all scales (p<0.001). In the surgical cohort significant improvements were seen across all eight SF-36 scales (p<0.001) following surgery. Within 3 months of surgery scores were equivalent to those of the normal population and this improvement was sustained at 12 months. SF-36 physical and mental component scores both significantly improved following surgery, with a mean change of 10.2 and 9.2 points, respectively (p<0.001). In contrast, SF-36 scores for breast hypertrophy controls remained at baseline across 12 months. The improvement in quality of life was independent of breast resection weight and body mass index.ConclusionBreast reduction significantly improved quality of life in women with breast hypertrophy. This increase was most pronounced within 3 months of surgery and sustained at 12-month follow-up. This improvement in quality of life is comparable to other widely accepted surgical procedures. Furthermore, women benefit from surgery regardless of factors including body mass index and resection weight.

scholarly journals Cost‒utility analysis of breast reduction surgery for women with symptomatic breast hypertrophy

2021 ◽  
Author(s):  
Tamara A Crittenden ◽  
Julie Ratcliffe ◽  
David I Watson ◽  
Christine Mpundu‐Kaambwa ◽  
Nicola R Dean
Keyword(s):  
Breast Reduction ◽  
Cost Utility ◽  
Cost Utility Analysis ◽  
Utility Analysis ◽  
Breast Hypertrophy ◽  
Breast Reduction Surgery ◽  
Symptomatic Breast

scholarly journals Reduction Mammoplasties in Adolescents: Examining Motivations and Resources Available to Patients

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Caroline Joo ◽  
Stacy Gil ◽  
Virginia Clark
Keyword(s):  
Breast Reduction ◽  
Institutional Support ◽  
Reduction Mammoplasty ◽  
Adult Women ◽  
Breast Reduction Surgery

Women who have abnormally large breasts often choose to undergo reduction mammoplasty, also known as breast reduction surgery. There have been many studies examining the psychological and medical reasons underlying why adult women seek such an operation as well as its postoperative effects. However, adolescents with enlarged breasts lack the knowledge and institutional support for their operations. This paper will examine the existing literature on adolescent reduction mammoplasties and comment on the lack of infrastructure and support for patients and their families. 

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