摘要目的:探讨一种能够同时缩小、缩短肥大乳头的新方法及其临床效果。方法:回顾性分析2018年1月至2019年12月上海美莱医疗美容医院收治的哺乳后乳头肥大患者的临床资料。术前在乳头非勃起状态下，根据患者要求和术前交流确定术后乳头的大小，分别于乳头两侧对称边缘设计2个楔形切除组织，确定新乳头直径，于乳头顶部设计对偶的2个翼形皮瓣，确定新乳头的高度。局麻后切去多余的皮肤和皮下组织，对应点拉拢缝合。术后观察患者乳头外观，用棉签轻触乳头评估乳头感觉和勃起功能。结果:共对22例患者采用该方法进行乳头缩小缩短，患者年龄24～35岁，均为生育哺乳后的女性患者。术后所有患者未发生切口不愈合或感染等并发症，乳头血运和感觉良好，乳头形态得到明显改善。术后随访3～9个月，乳头感觉和勃起功能达到术前水平，所有患者均对手术效果满意。结论:楔形切除联合翼形皮瓣法乳头缩小缩短术能够同时将乳头直径和高度矫正至理想的大小，且不会影响乳头感觉和勃起功能，手术设计简单、操作容易，效果满意。

abstractsObjective:To explore the clinical effect of a new method for nipple reduction and shortening in nipple hypertrophy.Methods:A retrospective analysis was made with patients with nipple hypertrophy who were admitted to Shanghai Mylike Medical Cosmetic Hospital from January 2018 to December 2019. The optimal size of the postoperative nipple was determined according to the patient’s requirements at the un-erectile state. Two wedge-shaped tissues resection were designed at the two symmetrical edges of the nipple to determine the diameter of the new nipple, and two dual wing shaped flaps were designed at the top of the nipple to determine the height of the new nipple. After local anesthesia, the redundant skin and subcutaneous tissue were cut off, and the corresponding points were closed and sutured. The appearance of the nipple was observed after operation. The nipple sensation and erectile function were evaluated by touching the nipple with cotton swab.Results:A total of 22 patients with nipple hypertrophy, aged from 24 to 35 years old, were female patients after childbirth and lactation. No wound nonunion or infection occurred. The blood supply and sensation of the nipple were good, and the shape of the nipple was significantly improved. All patients were followed up for 3-9 months, and the nipple sensation and erectile function recovered completely. All patients were satisfied with the postoperative result.Conclusions:The reduction of nipple by wedge tissue resection and wing flap can correct both the diameter and height of the nipple, while the nipple sensation and erection function are not affected. The procedure is easily performed with satisfactory result.