Wedge tissue resection combined with pterygoid flap for nipple reduction and shortening
10.3760/cma.j.cn114453-20200414-00221
- VernacularTitle:楔形切除联合翼形皮瓣法乳头缩小缩短术
- Author:
Qianqian ZHANG
1
;
Yi HOU
;
Huizhen HUANG
;
Shiruo ZHANG
;
Yuanrong YOU
;
Hao WANG
Author Information
1. 上海美莱医疗美容医院整形科 200050
- Keywords:
Nipples;
Surgical flaps;
Nipple hypertrophy
- From:
Chinese Journal of Plastic Surgery
2021;37(7):752-756
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of a new method for nipple reduction and shortening in nipple hypertrophy.Methods:A retrospective analysis was made with patients with nipple hypertrophy who were admitted to Shanghai Mylike Medical Cosmetic Hospital from January 2018 to December 2019. The optimal size of the postoperative nipple was determined according to the patient’s requirements at the un-erectile state. Two wedge-shaped tissues resection were designed at the two symmetrical edges of the nipple to determine the diameter of the new nipple, and two dual wing shaped flaps were designed at the top of the nipple to determine the height of the new nipple. After local anesthesia, the redundant skin and subcutaneous tissue were cut off, and the corresponding points were closed and sutured. The appearance of the nipple was observed after operation. The nipple sensation and erectile function were evaluated by touching the nipple with cotton swab.Results:A total of 22 patients with nipple hypertrophy, aged from 24 to 35 years old, were female patients after childbirth and lactation. No wound nonunion or infection occurred. The blood supply and sensation of the nipple were good, and the shape of the nipple was significantly improved. All patients were followed up for 3-9 months, and the nipple sensation and erectile function recovered completely. All patients were satisfied with the postoperative result.Conclusions:The reduction of nipple by wedge tissue resection and wing flap can correct both the diameter and height of the nipple, while the nipple sensation and erection function are not affected. The procedure is easily performed with satisfactory result.
