The superior medial pedicle breast reduction in gigantomastia: A report of 2 cases.

Gigantomastia is an uncommon condition that may occur in puberty or during pregnancy. The etiology remains unknown. Since 1989, we had treated only 2 cases with massive breast hypertrophy that was unrelated to pregnancy. To alleviate the discomfort of the patients, the superior medical pedicle breast reduction was performed. The entire breast parenchyma and skin in the lower quadrant and some breast tissue in the upper outer quadrant of the breast was removed. The viability of the nipple-areola complex depended on the perforating branches of the internal mammary artery. The operations were uneventful and there has been no recurrence of the gigantomaatia during the follow-up period to the present.