REDUCTION MAMMAPLASTY - THE RESULTS OF AVOIDING NIPPLE-AREOLAR AMPUTATION IN CASES OF EXTREME HYPERTROPHY

In extreme cases of breast hypertrophy, amputation of the nipple-areol ar complex and transplantation during reduction mammaplasty has been a dvocated to avoid nipple necrosis, We report our experience with 172 p atients having inferior breast pedicle reduction without amputation of the nipple-areolar complex. Mean total weight of resected tissue was 1,946 g (548 to 5,100 g), with a mean nipple-areolar transposition of 10 cm (0.5 to 23 cm). Dividing patients into four groups by weight of resection, we compared complication rates. In this series, where nippl e-areola amputation was avoided, there was a 99.6% survival rate of th e nipple-areolar complex with 97.1% retention of nipple sensibility. P atients with extreme breast hypertrophy (3,000 g resected tissue) expe rienced no increase in complications when compared to smaller reductio ns, In most cases of gigantomastia, amputation of the nipple can be av oided using the inferior breast pedicle technique. Size of breast rese ction alone should not determine the fate of the nipple.