Background: The ptotic breast deformity results from two synergistic forces: involution of breast parenchyma leading to a loss of volume, along with a converse laxity of the skin envelope, which becomes inelastic and accommodating. As the breast tissue descends inferiorly on the chest wall with gravity, there is an apparent volume loss in the upper pole and the central breast, and the lower pole becomes fuller and often wider.Objectives: The authors propose a technique whereby the superior pedicle vertical mammaplasty technique originally described by Lassus is modified to include transposition of glandular tissue to restore central mound projection while simultaneously narrowing the lower breast base and raising the inframammary crease.