A Simple Technique for Correction of Male Nipple Hypertrophy: The “Sinusoidal” Nipple Reduction

Nipple Reduction Using Circumcision and Wedge Excision Technique

“…The former method was introduced by authors such as Vecchione, 7 Marshall et al, 8 Basile and Chang, 9 and Debono and Rao. 10 The latter method was described by Regnault, 11 Sperli, 12 Ferreira et al, 13 Lai and Wu, 14 and Cheng et al 1 However, these methods have several drawbacks. Vecchion's nipple reduction involves transverse amputation of a portion of nipple, replacing the tip with a split-thickness skin graft.…”

Treatment of Nipple Hypertrophy by a Simplified Reduction Technique

“…The treatment of nipple hypertrophy can be approached in a similar manner. Previously described nipple reduction techniques [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] have involved various combinations of vertical elliptical and horizontal wedge excisions, flap elevations, core excision, and the use of closure techniques ranging from skin graft application to purse-string suture placement. By viewing the hypertrophic nipple as an appendage with excessive tissue, the senior author began over the past decade to apply to this deformity the principles of amputation and wound healing by secondary intention.…”

“…Moreover, this technique provides similarly predictable and satisfactory aesthetic results compared with other methods described in the literature. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] In addition, it can be applied to both men and women, requires only minimal postoperative wound care, and appears to have a low rate of complications. Although 3 patients did develop decreased nipple sensation, in the surgeon's opinion, this was more likely related to the concomitant breast augmentation procedure that was performed in each of these patients than to the nipple correction procedure.…”

Geometric Incision Design for Reduction Nippleplasty

“…Some methods reduce the nipple height only [4,[7][8][9][10][11], whereas other methods reduce both the height and diameter of the nipple [2,12,13]. However, these methods do not change the basal shape of the nipple to a desired round shape, and they produce scars on the nipples.…”