Combining Breast Reduction Techniques to Treat Gigantomastia in Ghana

Melody F. Scheefer, MD; Pius Agbenorku, MD; Paa Ekow Hoyte-Williams, MD; Boutros Farhat, MD; Isak A. Goodwin, MD; W. Bradford Rockwell, MD

doi:10.1097/GOX.0000000000001673

Plastic and Reconstructive Surgery, Global Open (Feb 2018)

Combining Breast Reduction Techniques to Treat Gigantomastia in Ghana

Melody F. Scheefer, MD,
Pius Agbenorku, MD,
Paa Ekow Hoyte-Williams, MD,
Boutros Farhat, MD,
Isak A. Goodwin, MD,
W. Bradford Rockwell, MD

Affiliations

Melody F. Scheefer, MD: From the *Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; †Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ‡Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; §Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ¶Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; and ‖Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.
Pius Agbenorku, MD: From the *Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; †Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ‡Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; §Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ¶Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; and ‖Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.
Paa Ekow Hoyte-Williams, MD: From the *Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; †Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ‡Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; §Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ¶Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; and ‖Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.
Boutros Farhat, MD: From the *Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; †Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ‡Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; §Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ¶Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; and ‖Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.
Isak A. Goodwin, MD: From the *Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; †Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ‡Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; §Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ¶Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; and ‖Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.
W. Bradford Rockwell, MD: From the *Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; †Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ‡Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; §Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Africa; ¶Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah; and ‖Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.

DOI: https://doi.org/10.1097/GOX.0000000000001673
Journal volume & issue: Vol. 6, no. 2
p. e1673

Abstract

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Summary:. In this presentation of 2 consecutive cases of symptomatic juvenile breast hypertrophy in Ghana, we review the patient presentation, workup, and discuss outcomes following a combined technique of inferior pedicle stump with free nipple graft reduction mammoplasty. Surgical goals for treatment of gigantomastia were 2-fold: to resect adequate tissue to obtain symptomatic relief with improved quality of life, while avoiding a flat, boxy-appearing breast shape.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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