Fig. 1.

Schematic drawing showing the mosque tower–shaped pattern for reduction mammaplasty. The new superior border of the areola (point A) is outlined approximately 2 cm over the Pitanguy point along the breast meridian. Along the same line, starting from point A at a distance of 5, 6, or 7 cm, depending on the degree of breast ptosis, point A is positioned. At this level, a line is drawn orthogonal to the breast meridian (dotted line), measuring 6, 8, or 10 cm, depending on breast hypertrophy. Points B and C correspond to the edges of this line. Point A is joined to points B and C on each side. Two vertical lines, measuring 6 cm, are traced caudally on each side, extending from points B and C toward the IMF (points D and E). The pedicle supplying the NAC (septum-superomedial) is marked in red superiorly with a line from two-thirds of the A–C distance toward point B and inferiorly with a U-shaped lined which surrounds the areola before ending at the base of the medial vertical line (from points D to E) and corresponds to the area that will be de-epithelialized. The wedge of skin and glandular tissue that will be removed is marked.