Figure 4).

Surgical technique to reduce the excessive nipple diameter. Surgical technique to reduce the excessive nipple diameter – caption continued from previous page. A The surgical correction of the excessive nipple projection has just been completed. To reduce the excessive diameter, a rectangle (measuring in width one-half of the total excess diameter) is drawn on the inferior surface of the new nipple. B The rectangle of skin is excised from the inferior surface of the nipple. C Two bilateral transverse incisions, on both sides of the top of the rectangle, are made. D Two advancement flaps are dissected and the defect is closed. E The same technique is used to mark a rectangle on the superior surface of the nipple. F Closure of the rectangle defect on the superior surface of the nipple. G Excision and closure of a small triangle of skin from the inferior and superior basal incision, to narrow the circular defect around the base to fit the new slimmer nipple. H Final bilateral result