McKissock’s breast reduction technique in a patient with burn sequelae: a case report and surgical strategy

Background. Advances in burn treatment have improved survival rates, even in extensive cases. However, burn sequelae can lead to severe deformities, such as breast burns in women, resulting in loss of the nipple-areola complex (NAC), scar contractures, and tissue alterations. Women with chest burn sequelae may also develop mammary hyperplasia, requiring careful surgical management.
Methods. A 45-year-old woman with burns covering 25% of her total body surface area (TBSA) sought treatment for scar contractures and gigantomastia symptoms, including cervicalgia and lumbosacral pain. Preoperative examination showed severe tissue damage in the chest and neck, with adherent scars and reduced skin elasticity. A mammary deformity, including asymmetry and abnormal jugulo-nipple distance, complicated surgical planning.
Results. This case presents reduction mammaplasty in a patient with chest and neck burn sequelae, using McKissock’s supero-inferior pedicle technique. The technique ensured secure vascularization and proper NAC repositioning, leading to improved outcomes.
Conclusions. Managing gigantomastia in patients with burn sequelae remains complex and requires individualized strategies. Further studies and clinical guidelines are needed to refine surgical decision-making in such cases.