Fig. 3.

Orientation-matched views of the vertical reduction patient with the most average (lowest z-score) breast measurements. A 28-year-old woman before (A, C) and 6 mo after (B, D) a vertical breast reduction using a medial pedicle. Resection weights: right breast, 367 g; left breast, 464 g. Breast area is reduced 23% (shaded). Breast projection is slightly decreased in this patient and upper pole projection is slightly increased. The lower pole level and breast mound are elevated. Nipple position is appropriate. BME indicates breast mound elevation; BPR, breast parenchymal ratio; LPR, lower pole ratio; MPost, maximum postoperative breast projection.