Nipple Reduction – Patient 133

A woman in her early 30’s who is bothered by prominence of her nipples in and out of clothing.  She does not have irritation. She also has some mild retraction of the nipple ducts.  Her nipple papules are wide and the breast is cone shaped, making it difficult to perform a top hat flap. The top hat flap would not reduce the nipple papule diameter enough, and because the nipple is sitting on top of the cone of her breast, would not reduce the prominence enough.  She elected for a nipple amputation technique and is shown 6 weeks after surgery.  She is thrilled to have a correction of the prominence.  The continued mild nipple retraction which is due to shortening of the nipple ducts is not bothering her at this time.