Figure 1

Patient with severe symptomatic macromastia. A 67-year-old woman with gigantomastia, who was treated using an RM with free nipple areola graft because she had several complication risk factors such as BMI 39, arterial hipertension, diabetes and projected movement of the NAC longer than 15 cm and, in addition, she was not worried about nipple conservation. The amount of breast tissue resected weighed 3626 g. Appearance before and five months after breast reduction.