The margin of the areola was then fixed at mid-humerus lavel just medial to the mid-clavicular line with pectoralis fascia at 10, 2, and 6 o'clock position with 3-0 monocryl. Outer border of the de-epithelised area was sutured by subdermal 3-0 monocryl suture, which gave a purse-string effect and made close contact of the two incision lines. These two lines were further apposed by few half buried horizontal mattress sutures [Figure 4c].