Previously, different researchers like Persichetti et al.[16] and others[1718] had described ‘circumareolar skin reduction with purse-string suturing’ technique to reduce the skin and areolar excess. Along with skin reduction, the excess breast parenchyma was removed by making a ‘reverse omega’ incision in the inferior border of the de-epithelialised area from 3-9 o'clock position (180 degree incision).