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The areolar opening is closed with a buried 3–0 Monocryl suture. The dermis at the base of the pedicle does not need to be undermined for this closure. Once the areolar opening is closed inferiorly, the pedicle is easily rotated into position. Note that the base of the pedicle itself is also rotated and the inferior border of the medial pedicle now becomes the medial pillar.
