Correction of postburn superior pole breast deformity and macromastia—A novel approach

Abstract

Deep thermal burns to the anterior chest of prepubertal girls although rarely affecting the breast tissue proper [1] can result in unsightly scarring, breast asymmetry [2,3], breast hypoor hyperplasia and challenging nipple displacement and distortion. Various techniques and approaches have been reported in relation to hypoplasia, but macromastia in the presence of burn scarring may also be problematic. The combination of extensive scarring and macromastia has been addressed in different ways in the literature. Despite fears of devascularising the nipple–areolar complex or inducing necrosis in the scarred skin flaps, reduction mammaplasty has been successfully applied in burned breasts [4,5]. We report a case of postburn breast deformity in which unilateral superomedial hypertrophic scarring and tight contractures were treated concomitantly with bilateral macromastia utilising a novel combination of rotational glanduloplasty with nipple transposition and contralateral superior pedicle breast reduction.