Abstract
Although the free nipple breast reduction technique is essentially an amputation, achieving satisfactory aesthetic results is still important. In this chapter, we present our technique of free nipple and areola complex transfer over the superomedial or superior pedicled full-thickness flaps in patients where a free nipple technique is inevitable. The nipple-areola complex (NAC) is elevated as a full-thickness skin graft (FTSG) and transposed to the superior or superomedial pedicles that were planned initially. The subsequent stages of the operation are transformed into a Wise pattern breast reduction. Highly satisfactory aesthetic results with upper pole fullness and good projection could be obtained with the technique we described.
References
Roehl K, Craig ES, Gómez V, Phillips LG. Breast reduction: safe in the morbidly obese? Plast Reconstr Surg. 2008;122(2):370–8.
Robbins TH. A reduction mammaplasty with the areola-nipple based on an inferior dermal pedicle. Plast Reconstr Surg. 1977;59(1):64–7.
Skoog T. A technique of breast reductıon; transposition of the nipple on a cutaneous vascular pedicle. Acta Chir Scand. 1963;126:453–65.
Cárdenas-Camarena L. Reduction mammoplasty with superolateral dermoglandular pedicle: details of 15 years of experience. Ann Plast Surg. 2009;63(3):255–61.
Lejour M. Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg. 1994;94:100–14.
Balch CR. The central mound technique for reduction mammaplasty. Plast Reconstr Surg. 1981;67(3):305–11.
McKissock PK. Reduction mammaplasty by the vertical bipedicle flap technique. Rationale and results. Clin Plast Surg. 1976;3(2):309–20.
Thorek M. Possibilities in the reconstruction of the human form. N Y Med J. 1922;116:572.
Güven E, Aydin H, Başaran K, Aydin U, Kuvat SV. Reduction mammaplasty using bipedicled dermoglandular flaps and free-nipple transplantation. Aesthet Plast Surg. 2010;34(6):738–44.
Lacerna M, Spears J, Mitra A, Medina C, McCampbell E, Kiran R, Mitra A. Avoiding free nipple grafts during reduction mammaplasty in patients with gigantomastia. Ann Plast Surg. 2005;55(1):21–4.
Ozerdem OR, Anlatici R, Maral T, Demiralay A. Modified free nipple graft reduction mammaplasty to increase breast projection with superior and inferior dermoglandular flaps. Ann Plast Surg. 2002;49(5):506–10.
Hall-Findlay EJ. A simplified vertical reduction mammaplasty: shortening the learning curve. Plast Reconstr Surg. 1999;104(3):748–59.
Nahabedian MY, McGibbon BM, Manson PN. Medial pedicle reduction mammaplasty for severe mammary hypertrophy. Plast Reconstr Surg. 2000;105(3):896–904.
Wettstein R, Christofides E, Pittet B, Psaras G, Harder Y. Superior pedicle breast reduction for hypertrophy with massive ptosis. J Plast Reconstr Aesthet Surg. 2011;64(4):500–7.
Gerzenshtein J, Oswald T, McCluskey P, Caplan J, Angel MF. Avoiding free nipple grafting with the inferior pedicle technique. Ann Plast Surg. 2005;55(3):245–9.
Başaran K, Ucar A, Guven E, Arinci A, Yazar M, Kuvat SV. Ultrasonographically determined pedicled breast reduction in severe gigantomastia. Plast Reconstr Surg. 2011;128(4):252e–9e.
Chen CL, Shore AD, Johns R, Clark JM, Manahan M, Makary MA. The impact of obesity on breast surgery complications. Plast Reconstr Surg. 2011;128(5):395e–402e.
Aydin H, Bilgin-Karabulut A, Tümerdem B. Free nipple reduction mammaplasty with a horizontal scar in high-risk patients. Aesthet Plast Surg. 2002;26(6):457–60.
Gorgu M, Ayhan M, Aytug Z, Aksungur E, Demirdover C. Maximizing breast projection with combined free nipple graft reduction mammaplasty and back-folded dermaglandular inferior pedicle. Breast J. 2007;13(3):226–32.
Koger KE, Sunde D, Press BH, Hovey LM. Reduction mammaplasty for gigantomastia using inferiorly based pedicle and free nipple transplantation. Ann Plast Surg. 1994;33(5):561–4.
Misirlioglu A, Akoz T. Familial severe gigantomastia and reduction with the free nipple graft vertical mammoplasty technique: report of two cases. Aesthet Plast Surg. 2005;29(3):205–9.
Karsidag S, Akcal A, Karsidag T, Yesiloglu N, Yesilada AK, Ugurlu K. Reduction mammaplasty using the free-nipple-graft vertical technique for severe breast hypertrophy: improved outcomes with the superior dermaglandular flap. Aesthet Plast Surg. 2011;35(2):254–61.
Romano JJ, Francel TJ, Hoopes JE. Free nipple graft reduction mammoplasty. Ann Plast Surg. 1992;28(3):271–6.
Abramson DL. Increasing projection in patients undergoing free nipple graft reduction mammoplasty. Aesthet Plast Surg. 1999;23(4):282–4.
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Basaran, K., Ersin, I. (2018). The Free Nipple Breast Reduction Technique Performed with Transfer of the Nipple-Areola Complex over the Superior or Superomedial Pedicles. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_52
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DOI: https://doi.org/10.1007/978-3-319-60925-6_52
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