Background: Breast enlargement can range from mild to
moderate to severe enlargement, which is called the gigantomastia.
Different pedicles can be used for transfer of nipple
areola complex to its new position. Owl technique involves
transposition of the nipple areola complex on superior dermoglandular
pedicle which is not suitable for gigantomastia.
Modification in form of transposition of the nipple areola
complex on superior dermal pedicle allowed the use of this
technique in management of gigantomastia.
Patients and Methods: Fifty patients were operated upon
using this technique in the period between June 2015 and
June 2016. Seating Owl-shaped markings of Oscar Ramirez
were used. Follow-up for at least six months showed maintenance
of the results.
Results: Partial affection of areola vascularity occurred
in one patient with previous application of port-a-cath on the
same side chest wall. Conclusion: This modification gives reliable successful results in reduction of different size huge breasts.