Nipple Reduction: An Adjunct to Breast Augmentation

Abstract

Nipple hypertrophy is an unaesthetic breast feature commonly seen in the Asian female population. It can also be observed among Caucasian and Black women, but at a much lower prevalence. Few publications in the medical literature have addressed the proper management of nipple hypertrophy. Nowadays, the rapid and accelerating growth of the Asian communities across North America is an evident reality. Accordingly, tackling the occasional breast augmentation patient with an associated nipple hypertrophy acquires a special importance and certain urgency. Ideally, every plastic esthetic surgery practice needs to be prepared to handle it when encountered. The technique described herein is quite effective at correcting both the overprojection and the excessive width of the hypertrophic nipple. It is a simple nipple reduction approach that is easy to learn and as easy to execute. Importantly, in addition to its high safety profile, it preserves both the nipple innervation and its lactiferous duct network.

Whether used separately or as an adjunct to mammary augmentation or mastopexy, this novel approach delivers excellent esthetic results with a high patient satisfaction rate.