ABSTRACT
In the period from 1986 to 1990 the authors have performed 41 reduction mammaplasties with the central breast pedicle technique presented by Hester et al. in 1985. tha advantages of this technique are the rich blood supply, which allows for a very natural superior movement of the nipple also in the difficult cases, and the sculpturing of a conical gland with a nipple completely freed from dermal connections, which yyelds nicely shaped breasts and excellent nipple areola projection. Complication rate was low and in particular hypertrophic scarring was experienced in 6 cases only. We think that this method is a valid alternative to more popular brast reduction techniques utilized today in which the common scars pattern is represented by an inverted "T"