P. Agbenorku¹, W.B. Rockwell², M. Obeng³, J. Akpaloo¹, O. Owusu-Danso¹, P.E. Hoyte-Williams¹, B. Farhat¹, E. Turkson¹, E. Tano¹, Z. Schumacher¹, P.K.S. Fiifi-Yankson¹

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¹ Division of Plastic & Reconstructive Surgery, Department of Surgery, School of Medical Sciences, Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.
² Plastic Surgery Division, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
³ Section of Plastic Surgery, St. Elizabeth Boardman Health Center, University of Pittsburgh School of Medicine, Boardman, OH, USA.
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Abstract: Background: The actual cause of Gestational gigantomastia (Gg) remains a dilemma. Its treatment has ideally been surgical, employing most commonly the different pedicle techniques in the last decade. Aim: This paper reviews the literature on the management of Gg using the inferior pedicle technique (IPT) and supports it with a successful case presentation using the IPT. Method: Using the PubMed search engine and Google scholar, literature search was done for Gg treated with the inferior pedicle reduction method. Published literature from other sources was also included. Data obtained was cleaned and analysed. The inferior pedicle breast reduction technique was employed without any modification in the normal procedure for the case presented. Results: Thirty-one literature addressing Gg and IPT were identified. Most surgeons use this technique with very good outcomes. Our patient confirmed reduced breast mould, firm and adolescent looking breast with no back, shoulder, neck and rib pains. She also experienced with time increased nipple areolar sensation, ability to undertake all tasks with ease and a new sense of confidence. Conclusion: The inferior pedicle breast reduction technique can be the standard treatment for gestational gigantomastia with the length from suprasternal notch to the nipple ≤ 50 cm that present without any anatomical complications.

Keywords: Gestational Gigantomastia, Hormones, Surgical, Inferior Pedicle, Medical Treatment

Cite this paper: Agbenorku, P. , Rockwell, W. , Obeng, M. , Akpaloo, J. , Owusu-Danso, O. , Hoyte-Williams, P. , Farhat, B. , Turkson, E. , Tano, E. , Schumacher, Z. and Fiifi-Yankson, P. (2017) Inferior Pedicle Breast Reduction for the Management of Gestational Gigantomastia: Literature Review and a Case Presentation. Modern Plastic Surgery, 7, 39-49. doi: 10.4236/mps.2017.74005.

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