The triplicated inferior pedicle - a new method for breast reduction and mastopexy.

Robbins described the inferior pedicle breast reduction in 1977. Since this time it has proved to be a safe and reliable technique. Favourable results have been reported with regard to breast feeding and nipple sensation. A common criticism of the technique is its tendency to inferior descent (pseudoptosis or bottoming out). This can leave a significantly empty upper pole. By a series of evolutionary modifications over the last 20 years, a technique has developed that overcomes the shortfalls of the inferior pedicle technique. We describe a series of 50 cases using this definitive technique.