A modification of circumnipple breast augmentation is described, which conf
ines the minimal scar to the base of the nipple. Furthermore, a longitudina
l breast parenchyma dissection is performed for breast pocket dissection th
at limits the injury of the lactiferous ducts and nerves to a minimum, and
makes dissection and exposure of the pocket easier, even in patients whose
nipples are small. This technique is especially useful in small breasts. We
have performed this procedure in 57 patients, and the: few complications t
o date are discussed in this paper.