Lower-pole Shaping of the Breast by Means of a Double Glandular and Cutaneous Advancement Flap: The Arrow Flap

Lower-pole shaping of the breast is sometimes a difficult challenge when performing vertical mammoplasty. The problems mostly encountered are too large breast bases, persistent dog ears, which require long incision, and poor breast projection. We report a modification of the technique that we use in breast reduction so as to better shape the lower pole and to reduce revision surgery.