Economides James M, Pittman Troy A
Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, D.C.
Plast Reconstr Surg Glob Open. 2017 Feb 21;5(2):e1233. doi: 10.1097/GOX.0000000000001233. eCollection 2017 Feb.
Macrothelia, or nipple hypertrophy, is a condition that may cause severe psychological distress to those who suffer from it. Although effective in their primary goal of reducing nipple diameter and projection, previously reported techniques in nipple reduction suffer from imperfect aesthetic outcomes with noticeable scarring patterns, anatomically anomalous shape, and a smoothing of the natural ruffles of the nipple. We propose a simple technique to nipple reduction that improves upon previous techniques and creates a more naturally appearing nipple. A 4-flap technique resembling a jester's hat is described whereby suture lines are concealed within the central nipple to recreate the naturally ruffled appearance of a native nipple. Four patients have undergone this technique at a single institution with 100% patient satisfaction and no postoperative complications. Nipple sensation was maintained in all patients postoperatively. A 4-flap nipple reduction technique is a viable alternative to previously described techniques, which may offer more anatomically congruent results.
巨乳症，即乳头肥大，是一种可能会给患者带来严重心理困扰的病症。尽管之前报道的乳头缩小技术在缩小乳头直径和突出度这一主要目标上有效，但存在美学效果不佳的问题，会出现明显的瘢痕模式、解剖学上异常的形状以及乳头自然褶皱的平滑化。我们提出一种乳头缩小的简单技术，该技术对先前的技术进行了改进，能打造出外观更自然的乳头。本文描述了一种类似小丑帽的四瓣技术，通过将缝线隐藏在乳头中央来重现天然乳头的自然褶皱外观。四名患者在单一机构接受了该技术治疗，患者满意度达100%，且无术后并发症。所有患者术后乳头感觉均得以保留。四瓣乳头缩小技术是先前所述技术的可行替代方案，可能会带来更符合解剖学的结果。
