Modification of the bipedicled vertical dermal flap technique in reduction mammaplasty

Various modifications have been made in the original McKissock design for breast reduction. These include limited areola elevation, a short inframammary incision, a narrow-based inferior vertical dermal flap, and deep coring out of all the remaining breast parenchyma. Reliance is placed on some sponotaneous skin shrinkage over the upper half of the breast following excision of breast tissue in depth. Consistently satisfactory results have attended routine use of this method-equally so when employed by surgeons in training.