PMC5293299_01
Preoperative photograph of giant fibroadenoma of the right breast. Surgical markings include midline, inframammary fold, breast meridian, Wise pattern incision, and free nipple grafting.
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F1
The contralateral breast had no physical findings or symptoms (Fig. 1).
Schematic of preoperative plan for incisions, free nipple graft, and skin flaps.
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F2
The lower pole of the inverted T pattern would be deepithelialized for autoaugmentation (Fig. 2).
Intraoperative photograph after tumor removal and deepithelialization of inferior skin flap. The Goldilocks style flap was folded superiorly underneath the remaining gland to supplement volume.
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F3
The inferior skin flap was approximately 1 cm thick after tumor removal and was deepithelialized for autoaugmentation of the lower pole (Fig. 3).
Five-week postoperative photo demonstrating a viable nipple graft and good contour and symmetry.
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F4
The patient was ecstatic with her outcome (Fig. 4).