Breast reduction: a retrospective analysis on 139 patiens

Gigantomastia represents a disabling condition characterized by excessive breast growth. Breast reduction can be performed with some techniques such as inferior pedicle reduction and superior pedicle reduction. Aim of this retrospective study is to assess the clinical outcome of a series of 139 patients underwent to breast reduction and discuss the pertinent literature. One hundred and thirty nine patients underwent to breast reduction during the period between September 2005 and December 2010. Treatments were grouped into three classes: 1 - inferior pedicle breast reduction, 2 - superior pedicle breast reduction and 3 - scars corrections. Eight out of 139 cases had failures such as keloids and poor aesthetics results. Chi square text was used to detect those variables (i.e. surgeon, type of surgery) potentially associated with failures. None of studied variables correlated with failures. Breast reduction is a worldwide use to correct gigantomastia and several surgical techniques are available. Proper diagnosis is of paramount importance to avoid potential complications such as hematomas or sieromas. In addition the patient’ psychological habitus has to be evaluated at admission. Since very few cases failed in our series, breast reductions are considered reliable surgical techniques to cure gigantomastia