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Combining Breast Reduction Techniques to Treat Gigantomastia in Ghana
Melody F Scheefer1, Pius Agbenorku1, Paa Ekow Hoyte-Williams1
1Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; and Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.
Abstract:
In this presentation of 2 consecutive cases of symptomatic juvenile breast hypertrophy in Ghana, we review the patient presentation, workup, and discuss outcomes following a combined technique of inferior pedicle stump with free nipple graft reduction mammoplasty. Surgical goals for treatment of gigantomastia were 2-fold: to resect adequate tissue to obtain symptomatic relief with improved quality of life, while avoiding a flat, boxy-appearing breast shape.
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