BACKGROUND Reduction mammoplasty procedures in patients with macromastia and gigantomastia can prove a major challenge to the plastic surgeon. Although several techniques have been described to reduce very large breasts, they can often result in vascular compromise to the nipple-areola complex (NAC) and skin flaps, decrease in NAC sensation and inability to breast-feed. The superomedial pedicle...

We report a bilateral reduction mammoplasty in a 15 year old female who suffered increasing back and shoulder pain and chest wall discomfort associated with bilateral breast enlargement during a 17 month period following heart transplantation. Cardiologic evaluation confirmed a structurally normal heart with good systolic and diastolic function, and ejection fraction of 80%. We performed a bila...

INTRODUCTION: In response to a growing opioid crisis, there is an increased focus on reducing opioid consumption perioperatively. Pectoral nerve blocks (Pecs blocks) have previously been shown to successfully manage postoperative pain in mastectomy patients, decreasing perioperative opioid consumption and postoperative nausea. Over the past several years, we have begun incorporating Pecs blocks...

OBJECTIVE A total of 62,611 patients with breast hypertrophy underwent breast reduction surgery in 2013 in the United States to improve their symptoms and health-related quality of life. While multiple studies utilizing various outcome instruments demonstrate the efficacy of reductive surgery, it is presently unknown how the postoperative course affects patient satisfaction and health-related q...

INTRODUCTION: In response to a growing opioid crisis, there is an increased focus on reducing opioid consumption perioperatively. Pectoral nerve blocks (Pecs blocks) have previously been shown to successfully manage postoperative pain in mastectomy patients, decreasing perioperative opioid consumption and postoperative nausea. Over the past several years, we have begun incorporating Pecs blocks...

Background: The objective of the study was to evaluate surgical and aesthetic outcomes bilateral reduction mammoplasty (RM) through inferior pedicle with inverted-T approach (PO).Methods: 23 women symptomatizing macromastia underwent preoperative breast measurements, calculation volume (BV), determination quality life (QoL) self-esteem scorings using assessed severity scale (BRASS) Rosenberg (R...

The development of macromastia in adolescence leads to a deforming and distressing condition during a sensitive period in a girl’s life. Vulnerability to developing a negative body image and the desire to fit in predisposes these female adolescents to significant psychosocial stressors. Social issues arise secondary to poor fitting clothing, trouble exercising, and public scrutiny resulting fro...