Vertical breast reduction techniques were designed with the purpose of limiting the breast scars while at the same time reducing the breasts. These techniques will result in a scar that goes around the areola and vertically down. Besides, not every patient is a candidate for this procedure. The saggier your breasts, the more challenging it becomes to reduce the breast envelope while at the same time match the reduce breast tissue with the resulting excess skin to be removed. This is a major problem in a patient whose nipple areola complex has sagged more that 12 cm.
The best candidates to have this limited breast reduction technique are those with a breast ptosis less than 12 cm. and those with good skin envelopes as well as minor skin elasticity.