Faculty:
Dr. Neerja Gupta (Senior Consultant – Breast Surgical Oncology)

Diagnosis:
Bilateral Breast Macromastia

Treatment Performed:

• Bilateral Reduction Mammoplasty
• Triple Pedicle Reduction with Superomedial and Lateral Pedicle

Key Highlights of the Case:

• Vertical scar incision placed, soft tissue release done
• Breast pedicles raised – superomedial and lateral
• Triple pedicle flap created using the superomedial artery and lateral thoracic artery perforator for enhanced vascularity of nipple areola
• Flap inset confirmed with ICG (Indocyanine Green) dye for nipple viability
• 2 kg of breast tissue removed bilaterally
• Hemostasis achieved, closure done in layers for optimal healing
• No intra-operative complications reported
• Patient was discharged the next day, and postoperative recovery was uneventful

Postoperative breast size reduced from 44G to 36C

This case exemplifies the use of advanced flap-based mammoplasty techniques for symptomatic macromastia. The successful use of vascularity-confirming technology like ICG further demonstrates the commitment of RG Hospitals, East of Kailash, to ensuring both surgical precision and optimal cosmetic outcomes.