PMC6545764_01
Bilateral giant breasts at 32-week gestation, with collateral venous circulation and trophic changes marked by the necrosis of the distal third of the mammary skin involving the nipple-areolar complex.
CRIS2019-7946240.001.jpg
PMC6545764_01_CRIS2019-7946240.001.jpg
fig1
The examination showed bilateral giant breasts with collateral venous circulation and trophic changes marked by the necrosis of the distal third of the mammary skin involving the nipple-areolar complex (Figure 1).
(a) Preoperative installation at D21 postpartum. (b) Arrow showing the incision site for the glandular section. (c) Glandular clean cut taking away the necrotic area and keeping the necessary mammary tissue for the plasty. (d) Skin flap lifting following the crests of Duret. (e) Glandular remodeling after reduction. (f) Cutaneous plasty. (g) Incision of the nipple plasty. (h) Cutaneous and nipple plasty (immediate result).
CRIS2019-7946240.002.jpg
PMC6545764_01_CRIS2019-7946240.002.jpg
fig2
Twenty-one days postpartum, a reductive mammary surgery was performed with nipple plasty (Figures 2(a)-2(h)).
(a) Aesthetic result at 2 months (minimal lymphangitis). (b) Aesthetic result at 18 months.
CRIS2019-7946240.003.jpg
PMC6545764_01_CRIS2019-7946240.003.jpg
fig3
After a short period of lymphangitis (Figure 3(a)), postoperative follow-up was normal. Cosmetic and psychological result was satisfactory after 18 months (Figure 3(b)); the patient does not want to get pregnant again, but we are following her up regularly to appreciate long-term evolution.