Combined Superior and Inferior Dermoglandular Flaps for Projection Enhancement in Gigantic Breast Amputation and Free Nipple Areola Graft | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 6, Volume 45, Issue 2, April 2021, Page 89-95 PDF (19.07 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2021.173853 | ||||
View on SCiNiTO | ||||
Authors | ||||
Ayman Altramsy 1; Abdelnasser Hamdi Mohammed1; Mahmoud Nassef1; Ahmed M. Nafee2 | ||||
1The Department of Plastic Surgery, Faculty of Medicine, Al-Azhar University | ||||
2The Department of Plastic Surgery, Faculty of Medicine, Helwan University | ||||
Abstract | ||||
Background: Breast amputation and free nipple areola complex (NAC) graft is reserved mainly for cases of gigantomastia. This technique usually ends by flat boxy breast without projection. Many flaps have been used to overcome the flat boxy breast. The superior and inferior flaps were used in 20 cases of gigantomastia during the period between March 2014 and October 2018. The technique, results, and complications will be presented and discussed. The Aim of the Work: The aim of this study is to emphasize the efficacy of using combined superior and inferior flaps for projection enhancement in breast amputation and free NAC graft surgery. Patients and Methods: A prospective study was conducted on 20 cases of gigantomastia at Al-Azhar University Hospitals. The classic breast amputation was done in conjunction with elevation of superior and inferior flaps. The average dimensions of the flaps were 8x13cm. The free ends of both flaps were sutured together and fixed to the pectoral fascia by sutures at the upper part of the breast. The procedure was completed as a wise pattern technique and ended by an inverted T scar. All patients were followed-up for a period of 6 months. Results: Regarding projection enhancement which is the main target of this study, all cases showed increases projection that ranged from excellent in 14 cases (70%) to good in 6 cases (30%) according tothe designed questionnaire. Conclusion: Adding superior and inferior dermoglandular flaps in breast amputation and free NAC graft enhances breast projection, decreases the boxy appearance and bottoming out rate of breast. | ||||
Keywords | ||||
Gigantomastia; Free nipple-areola graft; Combined superior; Inferior flaps | ||||
References | ||||
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