Classic free nipple graft reduction mammaplasty often yields flat, boxy breasts with poor projection. The authors modified this technique using superior and inferior pyramidal dermoglandular flaps to increase the fullness and projection of the breast. Six patients (12 breasts) with gigantomastia underwent breast reduction by this method. The results were aesthetically pleasing, with conically shaped breasts and good projection. The technique is easy to perform and it is possible to switch from pedicled nipple–areolar transposition to this method intraoperatively in patients in whom perfusion of the nipple is questionable.
Twelve gigantomastic breasts were reduced using superior and inferior pyramidal dermoglandular flaps and free nipple grafts. The method produced conical breasts and avoided the flat, boxy appearance often achieved with other free-nipple-graft techniques.
Başkent University, *Adana, †Ankara, and ‡Alanya Research and Teaching Centers, Turkey.
Received Oct 28, 2001, and
in revised form Jan 26, 2002.
Accepted for publication Feb 9, 2002.
Address correspondence and reprint requests to Dr Özerdem, Baskent Üniversitesi, Adana Hastanesi, Plastik ve Rekonstrüktif Cerrahi Bölümü, 01250 Adana, Turkey.
Özerdem OR, Anlatici R, Maral T, Demiralay A. Modified free nipple graft reduction mammaplasty to increase breast projection with superior and inferior dermoglandular flaps.