DOI: https://doi.org/10.36347/sjams.2025.v13i12.001

Pages: 1971-1974

Background: Gigantomastia is a rare condition marked by extreme breast hypertrophy, causing functional disability, pain, and psychological distress. Surgical reduction remains the definitive treatment. Among various techniques, the superomedial pedicle has emerged as reliable, offering predictable vascularity and superior shape. We report a 31-year-old woman with symptomatic gigantomastia who underwent bilateral breast reduction using the superomedial pedicle technique, achieving a total tissue removal of 5.767 kg, representing the largest documented reduction in Western India. Postoperative recovery was uneventful. Nipple–areola complex (NAC) viability and sensation were preserved. At 6 months, the patient demonstrated stable aesthetic outcomes, symptom relief, and high satisfaction. This case highlights the safety and versatility of the superomedial pedicle even in extreme reductions, supporting its role as a preferred technique in managing Gigantomastia.