Evaluation of using lateral based dermo- glanduler flap for Free- nipple graft reduction mammoplasty

Background: reduction mammoplasty with Free nipple gratting (FNG) is A procedure of choice in patients with major hypertrophy and ptosis. The limitations of using this technique are insufficient breast projection & other complications. In this technique using lateral neuroglandular tissue from the centre tissue after excision of extra- tissues to provide a good filling and conical breast with adequate projection. Method: pre-operative markings were made based on principles of breast reduction. After the planned tissue was excised; breast remodling was done, followed by marking for diamond lateral-based dermo- glandular flap from the centre of remain tissue; then deepitheliaster & eleval of it and inset to pectoral fascia. Result: 8 patients underwent Free nipple grafting with modified techniques. The inclusion criteria specified major breast hypertrophy and ptosis more than 1500 gm per side. The nipple areola transposition greater than 15 cm. The is no obvious complication rather than superficial slughing of the nipple areala grafting that healed spontaneously; and patients were satisfied with relief of symptoms as well as the shape and breast projection. Conclusion: The lateral based neuroglandular flap for free nipple graft reduction mammoplasty yield a good breast upper pole with adequate projection leaving no complication this method is effective for major breast hypertrophy with ptosis especially for nipple- areals transposition greater than 15 cm.