Operative Technique for Correction of Gigantomastia, Using the Superior Pedicle, with Special Care for the Nipple-Papillary Grafts: A 13-Year Retrospective Study

José Humberto Cardoso Resende; Lucilia Feliciano Marques di Carlantônio; Luiz Célio Martins Freitas; Teresa Tonini; Nébia Maria Almeida de Figueiredo; Luiz Carlos Santiago

doi:10.4236/mps.2015.53007

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MPS> Vol.5 No.3, July 2015

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Operative Technique for Correction of Gigantomastia, Using the Superior Pedicle, with Special Care for the Nipple-Papillary Grafts: A 13-Year Retrospective Study

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DOI: 10.4236/mps.2015.53007 4,932 Downloads 6,877 Views Citations

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José Humberto Cardoso Resende^1,2,3*, Lucilia Feliciano Marques di Carlantônio¹, Luiz Célio Martins Freitas^1,4, Teresa Tonini^5,6, Nébia Maria Almeida de Figueiredo⁷, Luiz Carlos Santiago⁷

Affiliation(s)

¹Nursing and Biosciences, Federal University of Rio de Janeiro State (UNIRIO), Rio de Janeiro, Brazil.
²Member of the Brazilian Society of Plastic Surgery (SBCP), Rio de Janeiro, Brazil.
³Brazilian College of Surgeons (CBC), Rio de Janeiro, Brazil.
⁴President of the Catheters committee of the National Cancer Institute (INCa), Rio de Janeiro, Brazil.
⁵Public Health from State of Rio de Janeiro University (UERJ), Rio de Janeiro, Brazil.
⁶Coordinator of the Post-graduate Program in Nursing and Bioscience of UNIRIO, Rio de Janeiro, Brazil.
⁷Nursing, Federal University of Rio de Janeiro State (UNIRIO), Rio de Janeiro, Brazil.

ABSTRACT

This is a retrospective study on gigantomastia correction in obesity facing the technique of nipple-areolar grafts and its complexity. The main question is the technical-surgical care during its execution aiming to achieve reparative results that can return to these women the desire to live with better quality of life and health. Method: We performed a retrospective study of all obese patients with severe gigantomastia who underwent reduction mammaplasty with an operative technique using the superior pedicle, with special care for the nipple-papillary grafts. The study was carried out at a single institution between 2001 and 2013, in a total of 30 cases. This operative technique was presented at first time in 1980, with no changes up to now. We emphasized the perfect decortication of the areola and nipples until they were translucent after the maneuvers of Schwartzman and subsequent grafts operated in both breasts. Results: Results were considered satisfactory, from the reparative and aesthetic point of view, emphasizing the degree of improvement observed in women undergoing technique. Discussion: We can say that during all this time of aesthetic and therapeutic-restorative surgery, due to its realization in a single surgical time, there was big impact on the aesthetics of patients and on their families, even taking into account possible complications in the post-operative. Conclusion: The superior pedicle technique, performed as described here, is a safe and reliable procedure in patients with severe gigantomastia.

KEYWORDS

Mammoplasty, Gigantomastia, Resende’s Technique, Surgical Flaps, Bariatric Surgery, Obesity

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Resende, J. , Carlantônio, L. , Freitas, L. , Tonini, T. , Figueiredo, N. and Santiago, L. (2015) Operative Technique for Correction of Gigantomastia, Using the Superior Pedicle, with Special Care for the Nipple-Papillary Grafts: A 13-Year Retrospective Study. Modern Plastic Surgery, 5, 34-46. doi: 10.4236/mps.2015.53007.

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