Nipple Reduction Preserving C-V Flap Tissue in Male Nipple Hypertrophy: Idea Innovation

Kim, Jae In; Kim, Yong Bae; Nam, Seung Min; Park, Eun Soo; Kang, Sang Gyu; Jung, Sung Gyun

Abstract

PURPOSE
Male nipple hypertrophy is a rare condition but is a social embarrassment for individual. The currently available techniques of nipple reduction already described in the literature for female patients are discussed, but the goal of treatment is different in male patients. In male patient, the diameter as well as vertical height should be reduced simultaneously to achieve better aesthetic results. Our new technique can reduce the diameter of the hypertrophic nipple as well as the vertical height efficiently and simply.
METHODS
A 19-years-old man with nipple hypertrophy on the right chest presented. The flap is designed based on the site of left nipple, symmetry, the diameter, and the projection desired. The widths of the V flaps determine projection, whereas the diameter of the C flap determines the diameter of the nipple and top of the new nipple. Unnecessary hypertrophic tissues are extirpated and the V flaps are elevated. The nipple base is reduced by purse-string suture technique. The V flaps are wrapped around, and C flap is used as a cap.
RESULTS
No complication including nipple necrosis or sensory loss were found during follow-up period. The normal symmetry of the nipple contour was restored.
CONCLUSION
We describe a simple technique for male nipple reduction using a C-V flap with purse-string suture. In our experience, this technique has provided good aesthetic result and patient satisfaction.