Figure 2).

A Preoperative marking of an overprojecting nipple with excessive width: The new height ‘p’ of the nipple is marked as in Figure 1B. The width of the present base ‘w’ is measured. The excess width exceeding 8 mm (w–8 mm) is divided between two rectangles (R and R₂, as shown in Figure 2B). The first rectangle ‘R’ is drawn between the dome and line ‘p’, on the inferior surface of the nipple. Therefore, its width is equal to half the excess width of the base. In other words, the width of R or R₂ is equivalent to w–8 divided by 2. (R = R₂ = [w–8 mm]/2). B The second rectangle ‘R₂’, identical to ‘R’, is drawn on the superior surface of the nipple. C Incisions are done along lines ‘p’ and ‘b’, as well as around the two rectangles, ‘R’ and ‘R₂’. Two additional small transverse incisions (i) are made on each side of the top of each rectangle (in other words, along the lower limit of the dome) to allow for the creation of two advancement flaps ‘f’. A small triangle ‘t’ is marked at the inferior and superior midline of the basal incision ‘b’. The base of the triangle, being part of circle ‘b’, measures 2 mm to 5 mm. The two triangles of skin are excised to reduce the diameter of the old base perimeter ‘b’ so that it better fits the new inner base. D Final closure of all incisions. The small triangular defects at the base are closed after minimal bilateral dissection