Vertical Incision for Cosmetic Reduction of Giant Benign Breast Masses: A Case Report and Literature Review.

Background: Giant benign breast masses cause unilateral or bilateral breast enlargement, which can lead to discomfort, including swelling and pain, and adversely affect appearance and daily activities. The surgical management of giant benign breast masses presents challenges in achieving a balance between therapeutic efficacy and cosmetic outcomes. Methods: A comprehensive analysis of the historical development and impact of modifications in surgical techniques for breast reduction was conducted through a literature review. Meanwhile, the surgical approach and perioperative outcomes associated with a giant hamartoma in the left breast were documented. Results: Following the excision of the giant benign breast mass, the residual mammary globules were selectively preserved, despite the presence of excess skin. Consequently, a vertical incision technique was used for breast reduction, effectively excising the excess skin and minimizing scarring. Furthermore, the sensation and function of the nipple-areola complex were more effectively preserved, resulting in an improved and more aesthetically pleasing breast contour. Conclusions: A vertical incision for giant benign breast masses, combined with an individualized surgical approach, allows for better preservation of nipple-areola complex sensation and promotes a favorable and long-lasting breast shape, indicating significant value for this surgical design in patients with giant benign breast masses in general surgery.