Macromastia is a common cause of physical and emotional suffering. Red
uction mammoplasty can provide relief from shoulder grooving, back and
neck pain, intertrigo, and symptoms of ulnar nerve compression. Simil
arly, emotional well being is enhanced by improved self-image, increas
ed capacity to participate in sports and work, and the ability to wear
normal, attractive clothes. In the last three years, we have performe
d reduction mammoplasty using the inferior pedicle technique or free n
ipple graft in 75 patients. Preoperative symptoms typically included b
ack pain, shoulder grooving, and a stooped posture. Fat necrosis was t
he most common complication and was associated with large resections.
Patient satisfaction was high for both procedures.