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Free nipple graft reduction mammoplasty
J J Romano1, T J Francel, J E Hoopes
1Johns Hopkins Hospital, Baltimore, MD.
Annals of Plastic Surgery
|March 1, 1992
Summary
This study presents a modified free nipple graft reduction mammoplasty technique. The modification enhances breast projection and shape in patients with massive hypertrophy.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Free nipple graft reduction mammoplasty is indicated for massive breast hypertrophy and high-risk patients.
- A key limitation is the resultant flat, boxy breast shape lacking projection.
Purpose of the Study:
- To present a technical modification of free nipple graft reduction mammoplasty.
- To improve breast mound projection and contour in this patient population.
Main Methods:
- A central, superiorly based dermal-parenchymal flap is designed and folded superiorly.
- This flap is secured beneath medial and lateral flaps to form the breast mound.
- The flap is tailored to achieve desired breast size and projection.
Main Results:
- The modified technique creates a central flap that forms the bulk of the breast mound.
- This flap allows for accurate tailoring to achieve desired projection and size.
- Medial and lateral flaps are contoured over the central flap for aesthetic form.
Conclusions:
- The presented modification effectively addresses the aesthetic limitations of standard free nipple graft reduction mammoplasty.
- This technique offers improved breast mound projection and a more natural breast shape.