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The Yin-Yang technique as originally described by the authors, introduced an innovative method of glandular resection, remodeling, and skin redraping. 1 Characteristics of the previously described Yin–Yang technique are:(1) vertical skin pattern,(2) supero-medial pedicle (SMP) for the nipple,(3) glandular resection pattern: an S-shape on the right breast and the opposite S-shape on the left breast, and (4) a laterally based inferior pole (LBIP) dermo-glandular flap. The two flaps are sutured with a rotation advancement movement to each other and at the parasternal line to reconstitute the mammary pillars, narrow the mammary base and achieve good projection. The original Yin–Yang technique showed good immediate postoperative results. However, long term outcomes showed that lower pole stability was not always, especially in medium and large breast hypertrophies. To avoid these uncontrollable lower pole …