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Related Experiment Video

Updated: Apr 6, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Nipple Reduction With the Chullo-Hat Technique.

Hyung-Bo Sim1, Sang-Hoon Sun1

  • 1Dr Sim and Dr Sun are plastic surgeons in private practice in Seoul, Republic of Korea.

Aesthetic Surgery Journal
|August 1, 2015
PubMed
Summary
This summary is machine-generated.

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This study presents a simple nipple reduction technique with consistent and reproducible outcomes. The procedure is safe and effective for various nipple sizes, offering reliable results with inconspicuous scarring.

Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Reconstructive Surgery

Background:

  • Existing nipple reduction techniques often present challenges in design and reliability.
  • Complex methods preserving lactiferous ducts are unnecessary for individuals not planning to breastfeed, including men.

Purpose of the Study:

  • To introduce a straightforward nipple reduction technique.
  • To achieve consistent and reproducible surgical outcomes.

Main Methods:

  • A chullo-hat excision pattern is utilized after marking the desired nipple length.
  • Excess nipple tissue is removed via excision of two triangular flaps.
  • The remaining tissue pillars are approximated with sutures, leaving the central nipple area partially open for discharge drainage.

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Related Experiment Videos

Last Updated: Apr 6, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Main Results:

  • The technique was performed on 53 women (106 nipples) between 2009 and 2013, with follow-up ranging from 6 months to 2 years.
  • No major complications were reported, and resulting scars were inconspicuous.
  • Postoperative nipple appearance demonstrated consistent similarity in size and shape.

Conclusions:

  • The described nipple reduction method is safe and effective across different nipple sizes.
  • The technique yields reliable and predictable results.
  • While the study focused on women, the authors anticipate similar success in male patients.