Breast Reduction using Free Nipple Graft.

Sim, Hyung Bo; Yoon, Sang Yub; Nam, Sang Jae

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2007;34(1):88-92.
Published online January 1, 2007.

Breast Reduction using Free Nipple Graft.

Hyung Bo Sim, Sang Yub Yoon, Sang Jae Nam

Baram Clinic BBC, Seoul, Korea. 123sim@hanafos.com

Abstract

PURPOSE
Free nipple graft reduction mammaplasty is a simple and effective way to reduce huge breasts. However, this technique is frequently criticized for producing poor projection and hypopigmentation of the nipple areola complex(NAC). METHODS: Sixty three patients(126 breasts) underwent the procedure from 1998 to 2005. Authors' method is similar with the modified Gradinger's technique except the keyhole pattern. After skin flap closing, the position of NAC is determined considering symmetry. The NAC is initially harvested and then resection of the breast followed, leaving a deepithelized inferior parenchymal pedicle(5 x 5cm). The upper point of inferior pedicle is sutured to the fascia of the pectoralis to produce the upper bulge. The nipple is replaced as a free and composite graft.
RESULTS
An average of 823grams of breast tissue per breast was removed. There was no major complications. All grafted nipples showed long lasting projection. And also, all NAC eventually regained their normal color except for 3 patients who needed medical tattoos. The overall results were good and patient satisfactory score was high.
CONCLUSION
This useful technique greatly enhances long lasting projection and recovers nipple color.

Keywords: Reduction mammaplasty; Free nipple graft