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Reduction Mammoplasty Using the McKissock Technique With a Free Nipple Graft: A Safe Approach
José L Villarreal-Salgado1, Carlos E Luna-Guerrero1, Luis E Ocampo-Guzmán2
1Plastic and Reconstructive Surgery, Institute for Social Security and Services for State Workers, Zapopan, MEX.
Mammary hypertrophy, or macromastia, is an increase in breast tissue volume due to multiple etiologies and still unknown pathophysiology. We report the case of a 45-year-old patient with juvenile macromastia, which caused cervical pain and decreased quality of life. It was decided to perform a reduction mammoplasty with a modified McKissock technique with a free nipple graft; the resected glandular tissue was 1039 grams in the right breast and 1029 grams in the left breast. An adequate projection of the upper pole was achieved with a good aesthetic result and clinical improvement of the patient.
Mammary hypertrophy, or macromastia, is an increase in breast tissue volume due to multiple etiologies and still unknown pathophysiology. We report the case of a 45-year-old patient with juvenile macromastia, which caused cervical pain and decreased quality of life. It was decided to perform a reduction mammoplasty with a modified McKissock technique with a free nipple graft; the resected glandular tissue was 1039 grams in the right breast and 1029 grams in the left breast. An adequate projection of the upper pole was achieved with a good aesthetic result and clinical improvement of the patient.

