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Open Access 01-10-2021 | Breast Reduction Plastic | Original Article

Double-Unit Superomedio-Central (DUS) Pedicle Inverted-T Reduction Mammaplasty in Gigantomastia: A 7-year Single-Center Retrospective Study

Authors: A. Wolter, S. Fertsch, B. Munder, P. Stambera, T. Schulz, M. Hagouan, D. Janku, K. Staemmler, L. Grueter, N. Abu-Abdallah, K. Becker, B. Aufmesser, J. Kornetka, C. Andree

Published in: Aesthetic Plastic Surgery | Issue 5/2021

Abstract

Introduction

Reduction mammaplasty in patients with gigantomastia is challenging. The Double-Unit technique with a Superomedio-Central pedicle and inverted-T incision is the standard technique for reduction mammaplasty in our clinic. The aim of this study was to review our approach in cases with gigantomastia in comparison with the current literature.

Patients and Methods

From 01/2011 to 12/2017, we performed 831 reduction mammaplasties in 630 patients. The Double-Unit Superomedio-Central (DUS) pedicle and inverted-T incision was implemented as a standard procedure for gigantomastia. Patient demographics and the outcome parameters complication rate, patient satisfaction with the aesthetic result, nipple sensibility, and surgical revision rate were obtained and retrospectively analyzed.

Results

In 37 patients, 55 reduction mammaplasties were performed with more than 1000 g per breast. Mean resection weight was 1311 g on right side and 1289 g on left side. Mean age was 52.5 years, mean body mass index was 32.8 kg/m², mean sternal-notch-to-nipple distance was 38.3 cm. A free NAC graft was necessary in four breasts. Overall complication rate was 14.5%; secondary surgical revision rate was 12.7%. 91% of the patients were “very satisfied” and “satisfied” with the aesthetic result. Nipple sensibility was rated “high” and “medium” in 83%.

Conclusion

The Double-Unit technique with a Superomedio-Central pedicle and inverted-T incision is very effective to achieve volume reduction and aesthetically pleasing reproducible results with a low complication rate in cases with gigantomastia.

Level of Evidence

Level of Evidence This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Title: Double-Unit Superomedio-Central (DUS) Pedicle Inverted-T Reduction Mammaplasty in Gigantomastia: A 7-year Single-Center Retrospective Study
Authors: A. Wolter
S. Fertsch
B. Munder
P. Stambera
T. Schulz
M. Hagouan
D. Janku
K. Staemmler
L. Grueter
N. Abu-Abdallah
K. Becker
B. Aufmesser
J. Kornetka
C. Andree
Publication date: 01-10-2021
Publisher: Springer US
Keywords: Breast Reduction Plastic
Breast Reduction Plastic
Breast Reduction Plastic
Published in: Aesthetic Plastic Surgery / Issue 5/2021
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-021-02351-y

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Springer Medicine

Double-Unit Superomedio-Central (DUS) Pedicle Inverted-T Reduction Mammaplasty in Gigantomastia: A 7-year Single-Center Retrospective Study

Abstract

Introduction

Patients and Methods

Results

Conclusion

Level of Evidence

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction

Patients and Methods

Results

Conclusion

Level of Evidence

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