LAUSR

SUMMARY In patients with large areolae, undefined nipple contours, or herniation of glandular tissue around the areola, achieving an aesthetically pleasing nipple shape that effectively reduces the areolar size, minimizes recurrence, and remains scar-free is important. To address these issues, we devised the crown-shape debulking method-a refined single-stage technique based on the previously developed petal pattern method-which enables greater control during areolar reduction and nipple reshaping without visible scars in the frontal areolar area. The petal pattern method is an excellent technique for nipple-areolar contouring; however, it has limitations in areolar reduction and results in visible scars from the front. The crown shape debulking method is an improved approach to address these issues.