Published online May 6, 2020. doi: 10.12998/wjcc.v8.i9.1674
Peer-review started: January 8, 2020
First decision: April 8, 2020
Revised: April 10, 2020
Accepted: April 15, 2020
Article in press: April 15, 2020
Published online: May 6, 2020
Processing time: 112 Days and 18.7 Hours
High-riding nipple is one of the common complications after mastopexty and breast reconstruction. However, to date, a limited number of techniques have concentrated on how to lower the high-riding nipple with enlarged areola.
This is a case report describing a combination of surgical techniques to decrease high-riding nipple. A 26-year-old woman, who previously underwent several breast operations, sought correction for high-riding nipple with enlarged areola. Expanders were used and multi-stage techniques were performed. After one year of follow-up, lowered nipple, reduced areola size, ensured nipple blood supply, and improved breast ptosis were achieved, and the patient was satisfied with the breast contour.
The proposed technique offers a feasible treatment option for postoperative nipple over-elevation combined with areola dilation.
Core tip: High-riding nipple is one of the common complications after mastopexty and breast reconstruction. However, there are very few techniques described in the current literatures on how to lower high-riding nipple with enlarged areola. This case report describes a combination of surgical techniques which offered a satisfactory correction. In this technique, expanders were used and multi-stage procedures were performed. This case offers a feasible method to solve the high-riding nipple with enlarged areola and can be used in other similar cases. At the same time, the size of the areola should be considered to assist in designing a suitable surgical plan.