The unfavorable breast contours resulting from a reductive mastoplasty and mastopexy influenced the authors into developing a technique that provided reduction of the breast base and axillary pole, convenient medial position of the lateral pole, and substantial conification of the breast tissue to help project the areolomamillary complex to the apex of that cone. From March 1987 to December 1994, 205 operations were performed with this technique, which consists of the construction of three glandular flaps and maximum preservation of the skin covering. The results obtained proved to be very satisfactory and more lasting.