Gigantomastia reduction: Inferior pedicle versus free nipple areola graft

Abstract

In defining gigantomastia the majority of breast surgeons use to evaluate the excised breast tissue weight and according to it to include the case into a specific category. There are varying definitions ranging from a weight as little as 0.6 kg up to 2.5 kg with most physicians defining macromastia as excessive tissue of over 1.5 kg. In this system there is no reference to the patient’s body mass index, and the result of the evaluation is not specific to the case, leading to inaccurate comparative results. The author has a precise way of breast volume assessment, before the surgery, using the TTM program for breast reduction/mastopexy. Comparative to the breast aesthetic volume fitted for each case (calculated by the TTM program), we know how much the extra volume value in percentages is. If the extra volume exceeds 200 %, we include the case in the gigantomastia category. The author discusses symptoms and some of the surgical procedures to correct gigantomastia.