Ren Min, Wang Ying, Wang Benzhong, Zhang Yicong, Xu Jun, Chen Ying
Zhonghua Zheng Xing Wai Ke Za Zhi. 2014 Jan;30(1):14-7.
To explore an ideal surgical method for nipple hypertrophy correction.
From July 2008 to June 2011, 44 nipple reductions were performed for 22 women (44 sides) by using the modified Z-shaped incision technique. The incision consists of two circles, one quadrangle and one triangle located on the top, body and base of the nipple. The nipple's height was decreased and the nipple diameter and base area were reduced. Bilateral nipples were designed symmetrically.
22 cases(44 sides) were treated with primary healing. The mean diameter of the nipple was reduced to (9.8 +/- 1.6) mm from (17.6 +/- 3.4) mm, the average height from (18.8 +/- 3.6) mm to (8.2 +/- 1.4) mm, with the patient supine. All the patients were followed up for 14 months to 4 years with satisfactory results. No nipple necrosis, infection and numb happened. 20 patients completed the self-designed survey scale 1 year after operation, of which 4 cases achieved normal lactation, and the remaining patients didn't have childbirth and breastfeeding yet.
The modified Z-shaped incision technique could reduce the height, diameter, and most importantly, reduce the basal shape of all types of hypertrophic nipple to create a desired new cylindrical nipple without affection of nipple sensation and function.
探索一种理想的乳头肥大矫正手术方法。
2008年7月至2011年6月，采用改良Z形切口技术为22例女性（44侧）进行了44例乳头缩小术。切口由位于乳头顶部、体部和基部的两个圆形、一个四边形和一个三角形组成。降低了乳头的高度，减小了乳头直径和基部面积。双侧乳头对称设计。
22例（44侧）一期愈合。仰卧位时，乳头平均直径由（17.6±3.4）mm缩小至（9.8±1.6）mm，平均高度由（18.8±3.6）mm降至（8.2±1.4）mm。所有患者随访14个月至4年，效果满意。未发生乳头坏死、感染及麻木。20例患者术后1年完成自行设计的调查问卷，其中4例实现正常哺乳，其余患者尚未生育及哺乳。
改良Z形切口技术可降低各类肥大乳头的高度、直径，最重要的是缩小其基部形态，塑造出理想的新圆柱状乳头，且不影响乳头感觉和功能。
