Figure 3).

Surgical technique to reduce the excessive nipple projection. A A hypertrophic nipple with excessive projection. B A superior-to-inferior line and a right-to-left line are marked across the nipple and areola in to orient the surgeon. C Preoperative marking: the new projection of the nipple is delineated, as a circumferential line, at 8 mm (6 mm to 10 mm) from the top of its dome. Another circle is drawn around the present base. D Infiltration of the base of the nipple. E A circular incision is done at the bottom of the new nipple. Another circular incision is made at the base of the original nipple. F The extra skin between the two circular incisions is dissected and excised as a thin flap. G Interrupted sutures are used for closure