MODIFIED METHOD OF REDUCTION MAMMOPLASTY IN GIGANTOMASTIA

Reduction mammoplasty at the modern level of development of plastic surgery should solve three main tasks: resection of excess gland tissue, elimination of ptosis of the nipple-areolar complex, and removal of excess skin covering the gland. The frequency of postoperative complications depends on the amount of tissue removed and the blood supply to the tissues to be absorbed. The purpose of the study was to develop a method that allows performing reduction mammoplasty in gigantomastia with preservation of the nipple-areolar complex. Material and methods: the paper describes the technique of reduction mammoplasty featuring the presence of a tunnel with walls in the form of a dermal stem and fibrous septum, which avoids the mechanical effect on the feeding leg of the nipple-areolar complex, preserves the microcirculation of the displaced layer of the breast, and prevents the development of necrosis and complete denervation of the areola. Results and discussion: the indication for the operation was a diagnosis of gigantomastia. The weight of the mammary gland was calculated as V = .r2h. The total weight of the operated breast was more than 3000 g. The distance from the jugular to the nipple was from 32 to 46 cm. The main criterion determining indications for reduction mammoplasty was the breast weight and the presence of gigantomastia clinic. According to the developed technique, 26 women underwent surgery. From 800 to 1200 g of breast tissue on each side was removed. In the early postoperative period, no complications from the operating wound were revealed in patients undergoing surgery by the developed method. The average follow-up period was (1.8 ± 0.7) years. Scarring in all operated women was normotrophic, no complaints about the aesthetic state of the mammary glands were noted. Вопросы реконструктивной и пластической хирургии № 3 (62) сентябрь’2017 16 Карапетян Г.Э., Пахомова Р.А., Кочетова Л.В. и др. Conclusions: the developed method of reduction mammoplasty allows us to remove the necessary volume of breast tissue, perform the T-joint, and exclude the possibility of necrosis and denervation of the nipple-areolar complex.

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