BREAST REDUCTION 54

This 23-year-old IT professional had problem with large breast since her early teen years. A year ago she consulted plastic surgeon in Palm Beach regarding breast reduction surgery. She was given advice by an experienced plastic surgeon that the safest technique for breast reduction of such a large breasts (gigantomastia, macromastia) is “free nipple reduction mammoplasty”. She was also informed that this technique would diminish chance for partial or total loss of nipple/areola, but would completely eliminate possibility for nursing and significantly decrease nipple sensitivity.  One year later she came to our Fort Lauderdale plastic surgery center for a second opinion. We have discussed breast reduction techniques which may be used to preserve nipples. In such a large breasts they all carry risk of a partial nipple/areola loss. In our hands the superior/medial pedicle mammoplasty carries less risks then alternatives like inferior pedicle breast reduction or central pedicle mammoplasty. Having in mind her young age and well vascularized breast tissue we have proposed and patient agreed to proceed with superior-medial pedicle mammoplasty. However, if in the course of surgery we find that circulation to the nipple-areola is compromised we will switch to free nipple breast reduction technique. Her surgery went without problems and patient did not experience any breast tissue/nipple loss. Patient is showed before breast surgery (left) and 6 months after breast reduction (right). In the meantime she lost 12 lbs. It is frequently observed in reduction mammoplasty patients that after they can see their abdomen after breast reduction surgery they become stimulated to lose weight through exercise and diet or undergo body sculpting surgery (liposuction, suction lipectomy) or both.

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