Free Nipple Graft Breast Reduction without a Vertical Incision

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Breast Surgery

Background:

• The free nipple graft technique with an inframammary incision is presented as a novel approach for breast reduction.
• This method aims to provide a safe and aesthetically pleasing alternative to traditional breast reduction surgeries.
• The absence of a vertical incision is a key feature, potentially reducing postoperative complications.

Purpose of the Study:

• To evaluate the safety and aesthetic outcomes of breast reduction using a free nipple graft with an inframammary incision.
• To compare outcomes between patients undergoing concomitant reconstruction versus reduction alone.
• To review existing literature on this specific surgical technique.

Main Methods:

• Retrospective chart review of patients undergoing breast reduction with free nipple graft and inframammary incision (June 1999 - March 2021).
• Collection of patient demographics, clinical information, and postoperative complications.
• Comparative analysis between reconstruction and reduction-only groups, supplemented by a literature review.

Main Results:

• Fifty-five cases were identified over a 22-year period, with 46 having adequate follow-up.
• Twenty-two patients underwent reconstruction with contralateral breast reduction, and 24 had reduction alone.
• No implants were used; the focus was on reduction and grafting techniques.

Conclusions:

• The free nipple graft with inframammary incision is suitable for patients with excessively large or ptotic breasts.
• The technique effectively reduces breast volume and achieves good projection.
• Eliminating the vertical incision minimizes T-junction breakdown and enhances aesthetic results.