Is the Strombeck breast reduction viable?

In 1960, J. C. Strombeck described a new technique for reduction of the hypertrophied breast. This single-stage, bipedicle, nipple-bearing, transverse dermal breast flap procedure was well received and widely practiced. There were, however, deficiencies in the original method that led others to modify and subsequently utilize adaptations of the technique. I hope to engender continued interest in the Strombeck procedure by highlighting problematic areas of its execution, and by offering my own solutions to them. I hope also to pay tribute to Strombeck for his ingenuity.