Jin Ung Sik, Lee Hong Ki
Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea.
Ann Plast Surg. 2013 Feb;70(2):154-7. doi: 10.1097/SAP.0b013e318234e91b.
The definition of nipple hypertrophy does not exist, and the cause of the deformity remains unknown. However, many patients are uncomfortable with nipple hypertrophy and seek plastic surgeons for correction. Many techniques have been introduced till now to correct nipple hypertrophy, but they are difficult to perform and control the size of nipple in 3-dimensional way. This article describes a new method to reduce nipple hypertrophy in both height and width simultaneously.
Between January 2001 and December 2010, we performed nipple reduction with our own method on 257 patients (491 nipples). For reduction in height, 2 circumferential lines are drawn: one at the base of the nipple and the other along the height of the new nipple. The distance between these circles is planned according to the required height reduction. For reduction in diameter, wedge excision lines are drawn from the top to the side wall of nipple only until the new baseline, which was drawn in a circumferential pattern. One or 2 wedge(s) is/are needed to get the desirable diameter in opposite position.
Among 257 patients, 23 underwent unilateral nipple reduction (male 1, female 22) and 234 underwent bilateral nipple reduction (male 9, female 225). The age ranged from 23 to 63 years (mean age, 34.6 years). The mean follow-up period was 30 months (range, 5-72 months). We performed a survey to evaluate long-term patient satisfaction. Of the 225 female patients, 200 who underwent bilateral nipple reduction surgery participated in our survey. This survey showed that our surgical technique is capable of producing satisfactory results. No major complications such as nipple necrosis, delayed wound healing, excessive scar, or loss of sensation were noted.
Our new method for nipple reduction has many advantages such as short learning curve, its ability to control the height and diameter of desired nipple size, and excellent aesthetic results.
乳头肥大尚无明确的定义，其畸形原因也尚不明确。然而，许多患者因乳头肥大而感到不适，并寻求整形外科医生进行矫正。到目前为止，已经有许多技术被用于矫正乳头肥大，但这些技术操作困难，难以从三维角度控制乳头大小。本文介绍一种能同时减小乳头高度和宽度的新方法。
2001年1月至2010年12月期间，我们采用自己的方法对257例患者（491个乳头）进行了乳头缩小术。为减小高度，绘制两条环形线：一条位于乳头基部，另一条沿新乳头的高度。根据所需减小的高度规划这两条环线之间的距离。为减小直径，仅从乳头顶部向侧壁绘制楔形切除线，直至以环形方式绘制的新基线。在相对位置需要一个或两个楔形切除来获得理想的直径。
257例患者中，23例行单侧乳头缩小术（男性1例，女性22例），234例行双侧乳头缩小术（男性9例，女性225例）。年龄范围为23至63岁（平均年龄34.6岁）。平均随访期为30个月（范围5至72个月）。我们进行了一项调查以评估患者的长期满意度。在225例接受双侧乳头缩小术的女性患者中，200例参与了我们的调查。该调查表明我们的手术技术能够产生令人满意的效果。未发现乳头坏死、伤口愈合延迟、瘢痕过度或感觉丧失等严重并发症。
我们的乳头缩小新方法具有许多优点，如学习曲线短、能够控制所需乳头大小的高度和直径以及美学效果极佳。
