A medical student in his mid 20’s who has mild breast development on his left side in the 7th to 8th grade along with prominence of the nipple. He is mainly bothered by the prominence of the nipple in some clothing and with his shirt off. Because the breast development was mild and the issue that bothered him the most was prominence of the nipple, we decided to address this first. He is shown before and again, 6 weeks after nipple papule reduction in the office under local anesthesia. He is thrilled with his early result and is no longer bothered by the appearance of his chest with or without a shirt.
A man in his late 50’s who is bothered by enlargement of his nipples. He had nipple piercings when he was younger and the nipple papules grew. He had had the piercings out for years but was embarrassed by the prominence of his nipple papules in clothing, especially fitted shirts. He was also bothered by their appearance with his shirt off. He described his nipple papules as looking like “gumdrops”.
He wished to have a normal appearing nipple papule but not overly reduced either. His nipple is prominent in width and in height, and needs to be reduced in both dimensions. A nipple amputation technique, which removes the top of the nipple, would only reduce the height.
He is shown before and again, 6 weeks after bilateral nipple papule reduction using the Top Hat Flap technique under local anesthesia in the office. He is thrilled with his result and being able to wear fitted shirts again.
A woman in her late 30’s who is bothered by an embarrassing prominence of her nipples in clothing. She is shown before and again, 7 weeks after bilateral nipple papule reduction in the office under local anesthesia using a modified, Top Hat Flap method. This allows the reduction of both the nipple height and width, while preserving the core of the nipple and nipple sensation.
An Asian man in his mid 20’s who is bothered by prominent nipple papules both with his shirt off and in clothing. He is shown before an again 6 weeks after bilateral nipple papule reduction under local anesthesia in the office. He wanted the nipples to be as flat as possible and is thrilled with his result. He can wear thin shirts now without the nipple papules showing through his shirt and making him fell self-conscious.