Reduction Mammoplasty Using T-Incision Technique in Gigantomastia

Abstract

Reduction mammoplasty at the current stage of plastic surgery development should solve three main problems: resection of excessive volume of gland tissue; elimination of ptosis of the nipple-areolar complex (NAC); removal of excessive overstretched skin covering the gland. Purpose of the study: to investigate the results of reduction mammoplasty using a T-shaped incision in gigantomastia with preservation of the nipple-areolar complex. In the department of maxillofacial and plastic surgery of Bukhara Regional Multidisciplinary Medical Center, 16 women aged 23 to 55 years with the diagnosis of "pronounced hypertrophy of both mammary glands" were operated in the scope of reduction mammoplasty using T-incision in the period from 2016 to the present. In the early and late postoperative period, no complications from the surgical wound were detected in those operated using this technique. Complaints about the aesthetic character after the operation were in 1 woman, in connection with which a corrective operation was performed. Areola sensitivity was fully restored in 97.5% of the patients. The average follow-up period was (1.7±0.7) years. There was no recurrence of gigantomastia, SAC necrosis in the operated women.