Septum-Enhanced Mammaplasty in Inferocentral Pedicled Breast Reduction for Macromastia and Gigantomastia Patients

Background Inferior pedicle and free nipple grafting are commonly used as breast reduction techniques for patients with breast hypertrophy and gigantomastia. Limitations of these techniques are, respectively, possible vascular compromise and total/partial necrosis of the nipple–areola complex (NAC)....

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Bibliographic Details
Published in:Aesthetic plastic surgery 2017-10, Vol.41 (5), p.1037-1044
Main Authors: Portincasa, Aurelio, Ciancio, Francesco, Cagiano, Luigi, Innocenti, Alessandro, Parisi, Domenico
Format: Article
Language:English
Subjects:
Adult
Breast - abnormalities
Breast - surgery
Breasts
Cohort Studies
Female
Follow-Up Studies
Humans
Hypertrophy - diagnosis
Hypertrophy - surgery
Italy
Mammaplasty - methods
Medicine
Medicine & Public Health
Middle Aged
Nipples - surgery
Original Article
Otorhinolaryngology
Patient Safety
Patient satisfaction
Plastic Surgery
Preoperative Care - methods
Quality of Life
Retrospective Studies
Risk Assessment
Statistics, Nonparametric
Supine Position
Surgical Flaps - transplantation
Treatment Outcome
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Summary:Background Inferior pedicle and free nipple grafting are commonly used as breast reduction techniques for patients with breast hypertrophy and gigantomastia. Limitations of these techniques are, respectively, possible vascular compromise and total/partial necrosis of the nipple–areola complex (NAC). The authors describe the innovative inferocentral pedicled reduction mammaplasty (ICPBR) enhanced by preservation of Würinger’s septum for severe hypertrophic breasts. Materials and Methods Among 287 breast reductions performed between January 2001 and 2015, 83 (28.9%) macromastia and gigantomastia patients met the inclusion criteria (breast volume resection ≥400 g–sternal notch-to-nipple distance ≥33 cm) and were included in the study. Patients were stratified according to pedicle type: Group A (51 patients) underwent ICPBR with Würinger’s septum preservation; group B (32 patients) underwent IPBR. Groups were compared for NAC vascular complications, surgical revisions, wound-healing period and patient satisfaction at a minimum 6-month follow-up assessed by a five-category questionnaire (breast size, shape, symmetry, texture and scars appearance), with five Likert subscales (1 = poor to 5 = excellent). Descriptive statistics were reported, and comparisons of performance endpoints between groups were performed using Chi-squared, Fisher’s exact and Mann–Whitney U tests, with p value
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-017-0868-1