Figure 12.

(A) Preoperative view of average-sized breast reduction (47-year-old patient who wore a 34DD brassiere, 169 lb, 5′6″). (B) Preoperative lateral view. (C) Preoperative markings. (D) Intraoperative view at completion of the vertical approach using the medial pedicle. From the right side, 475 g were removed; 490 g were removed from the left side. She had an additional 260 mL of fat removed from the lateral chest wall and preaxillary areas with some contouring of the lower portion of the breasts. Surgery time was 100 minutes. I now gather this incision far less than shown in this photograph. (E) Frontal view at 2.5 years postoperatively. (F) Lateral view at 2.5 years postoperatively.