Cinnamon Roll Technique with WALANT for Nipple Reduction.

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Microsurgery

Background:

• Nipple hypertrophy presents a common aesthetic concern for Asian women seeking surgical correction.
• Conventional anesthesia methods limit patient involvement in determining the final nipple size post-reduction.

Purpose of the Study:

• To introduce and evaluate a novel "cinnamon roll" technique for nipple reduction.
• To assess the efficacy and patient satisfaction of the "cinnamon roll" technique performed under wide-awake local anesthesia no tourniquet (WALANT).

Main Methods:

• Fifteen patients (30 nipples) underwent nipple reduction using the "cinnamon roll" technique with WALANT between November 2015 and October 2022.
• Nipple dimensions, pain scores (VAS), and aesthetic satisfaction were recorded.
• Sensory recovery was monitored for up to 12 months post-surgery.

Main Results:

• Pre-operative mean nipple diameter and height were 13.2 mm and 12 mm, respectively; post-operative measurements reduced to 8.8 mm and 8.7 mm.
• Mean pain score during infiltration was low (1.3/10), and mean patient satisfaction was high (9.3/10).
• No significant complications like necrosis, infection, or hypertrophic scarring were reported.

Conclusions:

• The "cinnamon roll" technique combined with WALANT is a safe, reliable, and easily learned procedure for nipple reduction.
• This technique empowers patients to actively participate in achieving their ideal nipple size, leading to high satisfaction rates.