Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, No. 92, Section 2, Chung-Shan North Road, Taipei, Taiwan, ROC.
Aesthetic Plast Surg. 2012 Jun;36(3):560-5. doi: 10.1007/s00266-011-9833-6. Epub 2011 Oct 25.
Nipple hypertrophy is a frequently encountered problem in Asian women. It may be congenital or caused by hormones, breast feeding, or gestation. The hypertrophy has been linked primarily to aesthetics. The nipples of Asian women usually are 6-10 mm in diameter and 5-8 mm in height, and women with nipples larger than 1.5 cm in diameter or height frequently ask for reduction nippleplasty.
Women with nipple hypertrophy seeking reductive surgery at the authors' hospital between 2004 and 2009 were considered for nippleplasty. A new design consisting of three dermal flaps and sparing of the central column was used. This design can reduce the diameter, height, and most importantly, the basal shape of the nipple without compromising neurovascular supply and functions.
During the aforementioned period, 86 nipples of 43 patients were corrected with this method. All the patients were satisfied with the aesthetic results, preserved lactation, and sensory function. No major complications such as necrosis, infection, or numbness of the nipple occurred.
This reduction nippleplasty method can be applied for all types of nipple hypertrophy to create a new nipple of the desired height and diameter without significant complications.
乳头肥大在亚洲女性中较为常见。它可能是先天性的，也可能由激素、哺乳或妊娠引起。这种肥大主要与美学有关。亚洲女性的乳头通常直径为 6-10 毫米，高度为 5-8 毫米，直径大于 1.5 厘米或高度较大的女性经常要求进行乳头缩小整形术。
2004 年至 2009 年间，作者医院对寻求缩乳手术的乳头肥大女性进行了乳头成形术。采用了一种由三个皮瓣组成的新设计，保留了中央柱。这种设计可以减小乳头的直径、高度，最重要的是基底形状，而不会影响神经血管供应和功能。
在上述期间，用这种方法矫正了 43 名患者的 86 个乳头。所有患者对美学效果、哺乳和感觉功能均满意。没有发生坏死、感染或乳头麻木等严重并发症。
这种乳头缩小成形术可适用于所有类型的乳头肥大，可在不出现明显并发症的情况下塑造所需高度和直径的新乳头。
