Nipple Elevation Using Loupes Magnification and a Double-Layer Purse-String Suture

Nipple elevation is a procedure that enhances the projection of the nipples. The aim is to achieve an aesthetically satisfying appearance that is stable over time and at the same time to maintain the sensory and lactating functions of the nipples. The surgical technique described in this report is based on release of the retracting lactiferous ducts and fibrous bands under loupes magnification and use of two layers of sutures to secure the acquired height of the nipple. The result is a satisfying projection accompanied by preservation of the sensory and lactating functions.