article · Plastic & Reconstructive Surgery Global Open
Juvenile fibroadenoma is a distinct subtype of fibroepithelial breast lesion primarily affecting adolescent girls and young women. Severe symptoms or marked cosmetic asymmetry from unilateral forms may require oncoplastic surgical reconstruction, but literature regarding techniques that provide good aesthetic outcomes in these patients remains limited. A clinical report describes a fifteen-year-old patient who experienced severe discomfort and embarrassment from a unilateral gigantic juvenile fibroadenoma. Surgeons performed a mammoplasty using a modified Goldilocks technique that preserved the nipple-areolar complex through an inferior-based dermal flap to restore symmetry. At a six-month follow-up, the surgical approach yielded strong aesthetic results and high patient satisfaction. Implementing modern reconstructive methods for benign breast conditions can effectively support the psychological and physical well-being of young women as they develop.
Gigantic breast lesions can cause substantial physical distress and emotional embarrassment during adolescence. Demonstrating that oncoplastic approaches can reconstruct breast tissue while preserving the nipple provides clinicians with practical options to correct severe asymmetry. This improves aesthetic outcomes and supports the mental and physical health of young patients dealing with benign conditions.
The abstract describes an applied clinical case report rather than a commercial product or medical device. The primary application is a specialised surgical technique for use by reconstructive and plastic surgeons treating adolescent breast conditions in hospital settings. The abstract does not indicate a commercialisation pathway.
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Juvenile fibroadenoma (JFA) represents a distinct subtype of fibroepithelial breast lesions that predominantly affect adolescents and young women. Unilateral JFAs are a rare condition in which surgical intervention focusing on oncoplastic reconstruction may be indicated in cases of severe symptoms or significant cosmetic deformity, with careful consideration of patient age, breast development stage, and long-term outcomes. However, there is limited literature on their surgical management aimed at delivering good aesthetic results to these young women. We report a case of a 15-year-old woman who presented with a unilateral gigantic JFA causing her severe discomfort and embarrassment due to the size and asymmetry of her breasts. Mammoplasty using a modified Goldilocks technique with nipple-areolar complex preservation via an inferior-based dermal flap was performed to achieve symmetry and good aesthetic results. After a 6-month follow-up, this technique delivered a remarkable aesthetic result with high patient satisfaction. This case highlighted the importance of using current innovative surgical techniques to deliver good aesthetic results to young women with benign breast diseases, as this plays a crucial role in their psychological and physical well-being as they grow up.
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DOI: 10.1097/gox.0000000000006894
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