The breast may grow to a pathological size in conjunction with puberty, pregn ancy, menstrual disorders or general adiposity. Heavy, pendulous breasts are a severe handicap, mentally and physically. As the deformity progresses, the social adjustment of the afflicted patient may be seriously affected.
In principles of their treatment, mild to moderate degree of macromastia and mastoptosis can be satisfactorily corrected by several standard operative procedur es, such as Pitanguy technique (1960), Goulian´s dermal mastopexy(1969), technique of Dufourmentel and Mouly (1965, 1968) and Strombeck technique (1960).
Moderate to severe macromastia is the majority of patients requesting breast reduction surgery, and the pedicle transposition of the nipple with an intact sensory and ductal structures. by using Strombeck principle is the procedure of choice.
In severe macromastia, unquestionably the safest procedure is that of a partial breast amputation and free transposition of the nipple. We had 6 cases of macromastia or mastoptosis who were operated at Severance hospital duing the last 6 years from June of 1972 to June of 1978. 2 cases of mild macromastia and mastoptosis were treated with dermal mastopexy, 3 cases of moderate to severe macromastia were treated with. Strombeck´s reduction mammaplasty and in 1 case of very severe macromastia, reduction mammaplsty with free nipple transpositions was applied with all satisfactory results.
Now we report the cases with the review of literature, especially about Strom beck technique, the most simple and valuable procedure.
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