Figure 3.

The design of the vertical skin pattern with the medially based pedicle. The orientation of the base of the pedicle can be altered, but I have found that the pedicle is consistently easier to inset when half of the base is in the areolar opening and half of the base is in the vertical opening. If the base is completely in the areolar opening, it can have the same problems as the superior pedicle with difficulty insetting. If the base is completely in the vertical opening, it can cause difficulties in rotation and it may mean that there is too much inferior fullness, which can lead to pseudoptosis.