Breast Reduction using the Free Nipple-areola Complex Graft Technique
Keywords:
gigantomastia; breast hypertrophy; reduction mammoplasty; Thorek techniqueAbstract
Introduction: There are various breast reduction techniques to improve the shape and size of the breast without affecting its function, so maintaining the safety of its vascularization and areolar innervation is essential. If this raises concerns about possible vascular compromise, the technique of amputation and free grafting of the nipple-areola complex should be considered.
Objective: To demonstrate the positive effects of breast reduction using the Thorek technique on functional and psychosocial problems associated with gigantomastia.
Methods: A study was conducted with 12 patients with gigantomastia treated at the Cira García Central Clinic during the period 2013-2024, who underwent breast reduction using the amputation and free grafting technique of the nipple-areola complex.
Results: The Thorek technique was used for breast reduction in all patients who underwent surgery for symptomatic gigantomastia. The mean amount of breast tissue removed was 2650 g per breast (range 2400 g to 3455 g), and the distance from the nipple-areola complex to its new location exceeded 20 cm. Complications were minimal. One hundred percent of patients reported satisfaction after
improvement in preoperative physical symptoms such as back and neck pain, as well as with the aesthetic results achieved.
Conclusions: Although the Thorek technique should not be the first choice in the treatment of reduction mammoplasty due to its functional drawbacks, it sometimes becomes a necessity and, when properly indicated, its benefits outweigh the risks.
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