Operative Technique for Correction of Gigantomastia, Using the Superior Pedicle, with Special Care for the Nipple-Papillary Grafts: A 13-Year Retrospective Study

• 作者: José Humberto Cardoso Resende Lucilia Feliciano Marques di Carlant?nio Luiz Carlos Santiago Luiz Célio Martins Freitas Nébia Maria Almeida de Figueiredo Teresa Tonini
• 来源期刊: 现代整形外科(英文)
• 学科: 医学
• 关键词: MAMMOPLASTY GIGANTOMASTIA Resende’s Technique Surgical FLAPS BARIATRIC Surgery Obesity
• 年，卷（期）: 2015,（3）
• 页码范围: 34-46
• 页数: 13页
• 分类号: R73

摘要

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.