Nipple Reduction – Patient 124

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.