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Reduced scarring, improved shape, long-term shape retention, and good nipple sensation are advantages of medial pedicle vertical breast reduction. This technique precludes the concept of the skin brassiere as holding breast shape and discards the 5-cm vertical rule and the chasing of dogears. The author provides a detailed description of her operative technique. (Aesthetic Surg J 2002;22:185-194.).

Vertical breast reduction with a medially-based pedicle