Vertical mammaplasty is a simple and safe procedure that relies on an upper
pedicle to the areola with lower central breast reduction and glandular sh
aping. We applied this technique to six patients adding a modification of t
he vertical scar which distributed skin tension both to the areola and vert
ical suture line. It prevented an unacceptable puckering vertical scar and
enlargement of areola. This modification also provided satisfactory breast
shape with a good vertical scar especially at the early postoperative perio
d.