Eur J Plast Surg (2003) 25:435 DOI 10.1007/s00238-002-0447-8 LETTER T O THE EDIT OR F. M. Abenavoli · R. Corelli Received: 7 October 2002 / Accepted: 9 October 2002 / Published online: 7 December 2002 © Springer-Verlag 2002 Sir: One of the congenital breast anomalies is the pres- ence of accessory axillary breast tissue. Its occurrence is not particularly unusual, and in its more limited form it only appears uni- or bilaterally as a slight swelling near the axilla [1, 2, 3]. However, in the more advanced form the presence of this mammary tissue creates discomfort not only from an esthetic point of view but also from a functional one. Sometimes it limits movements of the arm. Normally, however, this tissue is limited to the me- dial area of the armpit, and therefore even if it is abun- dant, the armpit hollow appears free when the arms are lifted. We present the case of a 42-year-old woman who pre- sented with both the armpits and new lateral areas occu- pied by mammary tissue (Fig. 1). The patient also had Fig. 1 Preoperative appearance gigantomastia and told us that even when she was quite young, she had difficulty doing certain kinds of move- ment and she could not take part in any type of sports ac- tivity. She underwent an operation under local anesthesia and sedation. First, a reduction mammaplasty was car- ried out (1,300 g was removed from each side), follow- ing Pitanguy's technique, however with the addition of an inferior pedicle to provide greater projection. At the end of the operation, always utilizing local anesthesia, the mammary tissue was removed from the right and left axillae. Almost 500 g of mammary tissue was removed by means of a surgical incision located exactly inside he armpit cavity (Fig. 2). This incision in the fold of the ax- illary furrow made it possible to enter the lateral and me- dial areas of the axilla with this being the only scar. The postoperative course was without any complications, and the patient told us that she was extremely satisfied with the result 1 month after operation. Fig. 2 Postoperative appearance 1 month later References 1. Kilic A, Kilic A, Emsen IM (2001) Accessory axillary breast F. M. Abenavoli ( ) · R. Corelli tissue. Ann Plast Surg 46:657 Department of Plastic Surgery, 2. Lesavoy MA, Gomez-Garcia A, Nejdl R, Yospur G, Syiau TJ, San Pietro Hospital, Change P (1995) Axillary breast tissue: clinical presentations Via Savoia 72, 00198 Rome, Italy and surgical treatment. Ann Plast Surg 35:356–360 e-mail: firstname.lastname@example.org 3. Kaye BL (1974) Axillary breasts: a significant aesthetic defor- Tel.: +39-06-854984, Fax: +39-06-8419170 mity. Plast Reconstr Surg 53:61–63
European Journal of Plastic Surgery – Springer Journals
Published: Feb 1, 2003
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