Using the lateral thoracic pedicle with nipple-areola complex for Gestational Gigantomastia reduction: A case report

Author(s): Tran Thiet Son, Ta Thi Hong Thuy, Phan Tuan Nghia, Pham Thi Viet Dung

Gigantomastia, or breast hypertrophy, is a condition that involves developing extremely large breasts due to excessive growth of breast tissue. Breast reduction surgery is an option that can help patients regain normal breasts. Several surgeons have presented a variety of techniques, but the axial flap bearing the nipple aerolar complex (NAC) remains controversial. We present a particular case of severe gigantomastia with a distance from the sternal notch to the NAC of approximately 48 cm. The surgical method of breast reduction uses a dermoglandular axial pedicle of the lateral thoracic vessels bearing the NAC. As a result, the patient was satisfied, the breast contour was similar to normal breasts, and there were no complications of the NAC. With this case, we wish to restate the safety and reliability of the pedicle bearing the NAC in breast reduction surgery, even when the pedicle of choice is the lateral thoracic vessels.