Combination of an oblique ellipse with a half-moon incision around the lower half of the areola is presented by the author to treat breast hypotrophy and moderate ptosis without resorting to implant of foreign material. The crescent combined with an oblique ellipse forms a little devil's figure. A deepidermized dermafat flap, with blood supply coming from the areolar area, increases the apparent volume of the breast. This technique is best used in cases of moderate ptosis in which no change in the position of the nipple is necessary. When there is hypertrophy, excess mammary tissue can be removed simultaneously with the cutaneous ellipse.