title: Nipple Reduction With the Chullo-Hat Technique.
abstract: BACKGROUND
  Although various techniques of nipple reduction have been described in the literature, many are difficult to design or have unreliable outcomes. For men, as well as women who do not plan to breastfeed, it is not necessary to apply a complicated technique that protects the lactiferous ducts.
  
  
  OBJECTIVE
  The authors introduce a simple technique for nipple reduction that has achieved consistent, reproducible results.
  
  
  METHODS
  The desired nipple length is marked, and a chullo-hat excision pattern is drawn. After infiltration of a local anesthetic solution around the nipple, excision of the excess nipple tissue is performed, comprising 2 triangular flaps. The remaining 2 pillars are approximated with 5-0 Nylon simple interrupted sutures. However, the wound is not completely closed in the central area of the nipple, which promotes the drainage of discharge.
  
  
  RESULTS
  Fifty-three women (106 nipples) underwent this surgery between December 2009 and December 2013. The follow-up period ranged from 6 months to 2 years (mean, 10 months). No major complications occurred, and the scars were very inconspicuous. The postoperative appearance of nipples was consistently similar in size and shape.
  
  
  CONCLUSIONS
  This simple technique was safe and effective in nipples of different sizes. The results were reliable and consistent with expectations. Although this study included only women, the authors believe that outcomes would be successful in men as well.
  
  
  METHODS
  4 Therapeutic.
authors.affiliation: Dr Sim and Dr Sun are plastic surgeons in private practice in Seoul, Republic of Korea.
authors.forename: Hyung-Bo
authors.initials: HB
authors.lastname: Sim
authors.affiliation: Dr Sim and Dr Sun are plastic surgeons in private practice in Seoul, Republic of Korea.
authors.forename: Sang-Hoon
authors.initials: SH
authors.lastname: Sun
mesh_terms: D000328:Adult; D001828:Body Image; D003357:Cosmetic Techniques / Q000009:adverse effects; D004954:Esthetics; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008875:Middle Aged; D009558:Nipples / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome