Pattern for reduction mammoplasty that uses a superior vertical dermal pedicle

A new surgical planning pattern is described that permits application of the "coning principle" of the regional tissue after mammary reduction. It makes use of a superior vertical dermal pedicle for nourishing the nipple-areola complex. The pedicle is not connected to the subjacent mammary tissue and thus can be folded over itself to accommodate the nipple-areola area at its new position.