Surgical Correction of Nipple Hypertrophy

The Triple-Flap Nipple-Reduction Technique

“…It is worth mentioning that the erectile function of the nipple was preserved and response was obtained in all 15 patients after cold stimulus, which is a significant difference when compared with previously published techniques. [3][4][5][6][7] Erectility is probably maintained when using the triple-flap technique because there is no transverse transection of the remaining nipple, thus preserving terminal innervation. Four patients undergoing associated breast reduction and 2 undergoing breast augmentation complained of sensibility alterations that remised during the first 6 months.…”

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.…”

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.…”