Reduction mammoplasty for bilateral gigantomastia and multiple breast fibroadenomas in an 18-year-old girl

Gigantomastia is a huge physical and psychological burden on affected patients, and it usually reduces their quality of lives drastically. Bilateral gigantomastia coexisting with multiple bilateral breast lumps is a rare condition. We have reported the case of an 18-year-old adolescent who presented with bilateral gigantomastia and multiple fibroadenomas in both breasts that were treated with reduction mammoplasty using the inferior pedicle with inverted-T technique. Treating bilateral gigantomastia using the inferior pedicle with inverted-T technique gives the best esthetic and functional results. Total resection weight of more than 1000 g should not be an absolute contraindication to use of inferior pedicled technique.