Male Nipple Reduction

Yoon, Sang Yub

Silhouette Clinic CBBC (Center of Breast and Body Contouring)

Purpose of Study: Nipple enlargement is an ethnic characteristic frequently encountered among Asian male. Male patients seek correction to alleviate psychological and physical discomfort. I present some techniques of male nipple reduction.

Subject and Methodology: Between May of 2010 and May 2015, these techniques were performed in 323 male patients. I classified male nipples into two groups for surgical correction. If the diameter of the nipple is more than 10mm corresponds to group I. The cause is usually habitually chronic touched. Smaller nipple corresponds to group II. The most common cause of is the lipocomastia. The neonipple is designed to reduce the nipple diameter at the superior pole of the nipple while preserving the central portion including vessels and nerves. A longitudinal shaped section of nipple is excised, maintaining the integrity of the central core. The remained skin flaps are trimmed to reduce the height. The flaps of the neonipple are then sutured to the areola (Fig. 1 & 2). This technique has been performed in 113 patients (group I). The superior pedicled flap method has been performed in 210 patients (group II, Fig. 3 & 4).

Results: Follow-up examinations were performed at 1 to 36 months. The results were excellent; nevertheless, 55 patients (13.9%) get reoperation to decrease the size of the nipple. Postoperative recovery was rapid and a few complications were encountered.

 

Conclusion: These techniques decrease both the diameter and height of any size nipple and can be modified to meet patient preferences. Additionally, these techniques provide reproducible and reliable results.

 

Legend

Fig. 1. Operative procedure. (Above, left) Marking and incision at the nipple-areolar junction. (Above, right) Two longitudinal shaped section (3 o’clock and 9 o’clock) of nipple is excised, maintaining the integrity of the central core. (Below, left) Additional two longitudinal section (6 o’clock and 12 o’clock) of the nipple skin is de-epithelized. (Below, right) The remained skin flaps are trimmed to reduce the height.

 

Fig. 2 (Left) Preoperative view of the patient with hypertrophic nipple (12 x 12 x 7 mm) without lipocomastia. (Right) Immediately postoperative view, this nipple look smaller-sized one (5 x 5 x 2 mm).

 

Fig. 3 Operative procedure. (Above, left) Preoperative view. (Above, right) Marking of the superior pedicled nipple flap (diameter 4- 5 mm). (Below, left) Inferior portion (usually 2/3 – 3/4) is excised. (Below, right) The remained flap is sutured to the areolar.

 

 

Fig. 4. (Left) Preoperative view of the patient with hypertrophic nipple (8 x 8 x 5 mm) with lipomastia. (Right) Immediately postoperative view, this nipple look smaller-sized one (4 x 4 x 1 mm).

 

 

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