A woman in her late 40’s who is bothered by the prominence of her nipples in clothing. She had seen several plastic surgeons and was told that she could not reduce the diameter of her nipples, only that height. Although that may be true with traditional “nipple amputation” techniques, where the top of the nipple papule is removed, it is certainly not true with the “top hat” flap method of nipple reduction that I prefer. This allows for a one stage correction of the diameter and height of the overly prominent nipple, without leaving raw areas and with the preservation of nipple sensation. Anatomic studies show that the nipple ducts and nerves travel through a 5- 5.5 mm core at the center of the nipple papule, regardless of the size. We are able to preserve these with the top hat flap method. She is shown before and again, 2 1/2 months after surgery. She is pleased that she has maintained her normal nipple sensation and feels that the new papule size is perfect for her.
Cosmetic & Plastic Surgery Specialist
"I treat my patients like I would treat
- Jonathan D. Hall, MD, FACSmembers of my own family."
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