الفهرس 
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Abstract
The aim of this work was to emphasize Versatility of the medial pedicle technique for reduction mammoplasty regarding:
Aesthetic outcome, Functional outcome, Complications and revision rates, Long term results, and patient satisfaction.
The review of literature included the following:
•Descriptive anatomy of the female breast: This included embryology, rapid review on skin, parenchyma, fat content, fascia, blood supply, nerve supply, lymph drainage of the female breast, and NAC.
•Morphologic anatomy of the female breast: This included breast contour, quadrants, segments, creases, height, base, size, and NAC.
•Physiology of the female breast: Included phases of development of the breast and mechanism and control lactation.
•The problem of hypertrophy and ptosis: Their definitions, pathophysiology, classifications, types, and effects.
•Indications for reduction mammaplasly: The most frequent symptoms and patients profiles.
•General principles of reduction mammoplasty: As regards the contents, the container, and the NAC.
•The techniques of reduction mammaplasly: Historical background, classifications, techniques, advantages and disadvantages.
The study included twenty female patients with breast hypertrophy: All underwent medial pedicle technique, using inverted- T scar Patients were followed up for up to one year.
The results showed that when properly chosen and executed. The medial pedicle technique has better aesthetic outcome; shape and scar, fewer complications and revision rates, more stable long term results, and higher patient satisfaction. It is concluded also that to choose either technique, triple assessment should be done:
1. Patient assessment; age, parity and maternity and patient selection.
2. Breast assessment; volume, width, and type of the parenchyma.
3.Skin assessment: skin excess, quality, and skin parenchyma relationship.