Background: The inferior pedicle is still the most common pedicle used for breast reduction using both inverted T and vertical closure, however many unfavorable results may follow as bottoming out and decreased upper pole fullness. Many techniques were done to overcome the drawbacks of the inferior pedicle technique.Patients and Methods: 10 patients complain of huge ptotic breast had inferior pedicle technique with full release of pedicle from skin with glandular brassiere support in form of lower pillars on both sides with vertical skin closure.Results: Satisfactory long term results both objectively and subjectively, with good upper pole fullness and without bottoming out and only with vertical scar.Conclusion: This technique combined both the merits of the inferior pedicle reliability and better aesthetic results.
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