TL;DR: The modified top hat flap requires minimal preoperative planning, is easy to perform, and yields reproducible results.
Abstract: Background:Large nipples, disproportionate to the small areola and breast size, are an ethnic characteristic frequently encountered among Asian female patients. Patients seek correction to improve cosmesis and alleviate psychological and physical discomfort. The authors present a new technique of ni
TL;DR: Smaller breast ducts (diameter <0.5 mm) represent nearly 50% of the nipple ducts and could be a challenge to the ductoscopy technology.
Abstract: The aim of this study was to determine number and diameter of milk ducts in the nipple and to investigate the possible influences of age, breast weight, and diameter of the nipple on the number of duc
TL;DR: Infraclavicular tissue expansion is used to recruit more skin to the upper pole of the breast, resulting in an increase in the absolute notch-to-nipple distance, and results with 1-year follow-up are shown.
Abstract: Breast reduction and mastopexy are commonly performed to change the size or shape of the female breast. These procedures lift the breast and raise the nipple-areola complex to give the breast a more youthful appearance. However, when a surgeon mistakenly places the nipple too high in conjunction with a reshaping technique, the result is unnatural and the patient is unhappy. Few reports in the literature offer the surgeon a solution to this perplexing problem without the creation of new superior scars.1,2 We have used infraclavicular tissue expansion to recruit more skin to the upper pole of the breast, resulting in an increase in the absolute notch-to-nipple distance. We describe our technique and show results with 1-year follow-up. Classification of the degree of deformity is presented.