Once the lateral pillars are joined according to the Lassus-Lejour technique, the flap is permanently fixed. This “autoprosthesis” is then anchored to the chest wall by sutures, and the areolar flap may be placed directly above it. Methods: A glandular-adipose flap with a posterior pedicle can be lifted upward without any difficulty. Objective: To durably fill the superior mammary pole, I suggest that the ptotic tissue of the inferior portion should be used even in the vertical scar technique. Background: By means of the classical operations of reduction mammaplasty and mastopexy, one may never achieve an adequate shaping of the upper half of the breast.
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