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J Korean Soc Aesthetic Plast Surg. 2004 Mar;10(1):32-36. Korean. Original Article.
Cho AY , Cheon JS , Lee SC , Yang JY .
Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea.

INTRODUCTION: Nipple hypertrophy is a known, but rare condition. The cases described in the literature all refer to aesthetically unacceptable, long, prominently projecting nipples and reconstruction which, in principle, is aimed at height reduction. MATERIAL AND METHOD: 2 male and 3 female patients who did not need to feed. We modified several aspects of Sinusoidal wave form resection method. First, we changed the position of peaks from superior, inferior point to medial, lateral side to mask the possible dog ear. Second, We classified the types of nipple hypertrophy to pedunculated type and cylindrical type on the point of diameter and shape. Third, We designed the obtuse peak and acute through on pedunculated type because of small diameter of the neck. Forth, We designed the acute peak and obtuse through on cylindrical type because of large diameter of nipple. Fifth, purse string suture was not necessary. RESULTS: There was no postoperative complication with great satisfaction after 10 months follow up. CONCLUSION: Previously described surgical method for nipple hypertrophy was aimed at the reduction of height of nipple, only, but my method was aimed at the reduction of height and diameter of nipple with sinusoidal wave design, after classification of nipple shape. Moreover, dog ear was masked by design of sinusoidal wave, which was begun at the medial side of hypertrophied nipple. All patients were satisfied with the result without complication.

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