The central mound technique for reduction mammaplasty

The principle of this technique is the draping of medial and lateral skin flaps around a central breast mound. Nipple-areola viability does not depend on a dermal pedicle, but on the parenchymal circulation. The resection of breast tissue is primarily inferior. Contour is determined by the amount of medial and lateral resection. This design reduces the tendency for postoperative ptosis and superior nipple-areola tilt. Operating time and raw surface area are reduced. Therefore, postoperative morbidity is lower.