title: Increasing projection in patients undergoing free nipple graft reduction mammoplasty.
abstract: Reduction mammoplasty in patients with gigantomastia has traditionally been performed by a technique involving free nipple grafting. These patients usually have only a small amount of breast tissue above the inframammary fold and therefore this type of procedure has often left patients with an insufficient amount of superior pole projection. I have performed free nipple grafting in three patients with gigantomastia using a technique that utilizes two deepithelialized pedicles to increase projection. This technique is simple to perform, does not significantly lengthen the operative time, and results in a breast that provides significant projection.
authors.affiliation: SUNY-HSC at Brooklyn, Division of Plastic Surgery, Department of Surgery, New York 11203, USA.
authors.forename: D L
authors.initials: DL
authors.lastname: Abramson
mesh_terms: D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D009558:Nipples / Q000637:transplantation*; D013524:Surgical Flaps