Department of Breast Surgery, The First Affiliated Hospital of Anhui Medical University, Jixi Road 218, Hefei 230022, PR China.
J Plast Reconstr Aesthet Surg. 2013 Jun;66(6):770-5. doi: 10.1016/j.bjps.2013.02.034. Epub 2013 Apr 16.
Nipple hypertrophy is a seldom-discussed aesthetic problem. Many patients feel uncomfortable with it and seek for correction. However, it is difficult to reshape nipples to an actual cylindrical form with the published methods. This study presented a novel three-dimensional Z-shaped incision technique, which can not only decrease the height and diameter of a hypertrophic nipple but also narrow the nipple base without destroying its function.
A total of 44 nipple reductions were performed for 22 women using the three-dimensional Z-shaped incision technique between July 2008 and June 2011. It consists of two circles, one quadrangle and one triangle incision lines on the top, body and base of the nipple to reduce the nipple's height, diameter and base. Bilateral nipples were designed symmetrically.
A total of 44 operated nipples in 22 healthy female patients, aged 18-42 years (mean age, 28 years) were corrected with this method. The mean follow-up period was 28 months (range, 14-48 months). A survey was also performed to evaluate long-term patient satisfaction. Our survey showed that our surgical technique was capable of producing satisfactory results. No complications such as nipple necrosis, infection or numbness occurred.
The three-dimensional Z-shaped incision technique could reduce the height and diameter and, most importantly, reduce the basal shape of all types of hypertrophic nipples to create a desired new nipple cylindrical in shape without compromising neurovascular supply and functions.
乳头肥大是一个鲜少被讨论的美学问题。许多患者对此感到不适，并寻求矫正。然而，使用已发表的方法很难将乳头重塑成实际的圆柱形。本研究提出了一种新颖的三维 Z 形切口技术，不仅可以降低肥大乳头的高度和直径，还可以缩小乳头基底而不破坏其功能。
2008 年 7 月至 2011 年 6 月，我们共对 22 名女性的 44 个乳头进行了三维 Z 形切口技术的乳头缩小术。该技术包括在乳头的顶部、体部和底部设计两条圆线、一条四边形线和一条三角形线，以减少乳头的高度、直径和基底。双侧乳头设计对称。
共对 22 名 18-42 岁（平均 28 岁）健康女性的 44 个手术乳头进行了矫正。平均随访时间为 28 个月（范围 14-48 个月）。还进行了一项调查，以评估长期患者满意度。我们的调查显示，我们的手术技术能够产生令人满意的效果。没有发生乳头坏死、感染或麻木等并发症。
三维 Z 形切口技术可以降低各种肥大乳头的高度和直径，最重要的是，可以缩小基底形状，形成理想的新乳头圆柱形，而不影响神经血管供应和功能。
