Background: Breast amputation and free nipple areola
complex (NAC) graft is reserved mainly for cases of gigantomastia.
This technique usually ends by flat boxy breast
without projection. Many flaps have been used to overcome
the flat boxy breast. The superior and inferior flaps were used
in 20 cases of gigantomastia during the period between March
2014 and October 2018. The technique, results, and complications
will be presented and discussed.
The Aim of the Work: The aim of this study is to emphasize
the efficacy of using combined superior and inferior flaps for
projection enhancement in breast amputation and free NAC
graft surgery.
Patients and Methods: A prospective study was conducted
on 20 cases of gigantomastia at Al-Azhar University Hospitals.
The classic breast amputation was done in conjunction with
elevation of superior and inferior flaps. The average dimensions
of the flaps were 8x13cm. The free ends of both flaps were
sutured together and fixed to the pectoral fascia by sutures at
the upper part of the breast. The procedure was completed as
a wise pattern technique and ended by an inverted T scar. All
patients were followed-up for a period of 6 months.
Results: Regarding projection enhancement which is the
main target of this study, all cases showed increases projection
that ranged from excellent in 14 cases (70%) to good in 6
cases (30%) according tothe designed questionnaire.
Conclusion: Adding superior and inferior dermoglandular
flaps in breast amputation and free NAC graft enhances breast
projection, decreases the boxy appearance and bottoming out
rate of breast.