Patients requesting nipple or areolar reduction often desire simultaneous breast augmentation. A technique is described for implant placement by means of a nipple base incision with either nipple reduction or intraareolar reduction. Nipple reduction is accomplished by removing a ring of skin from the base of the nipple, while areolar reduction is performed by removing a donut-shaped area of skin whose inner diameter is at the nipple base. The elasticity of the areolar skin allows for access for saline implant placement. The resulting scar is well concealed. Results from 15 patients demonstrate that the technique is safe, practical, and appears to pose no increased risk of sensory changes to the nipple.
Mountlake Terrace, Wash.
Received for publication January 21, 2003;
revised March 21, 2003.
Richard A. Baxter, M.D.
6100 219th Street SW
Mountlake Terrace, Wash. 98043
Presented at the 40th Annual Meeting of the Northwest Society of Plastic Surgeons, in Ketchum, Idaho, February 23 to 27, 2002.