This report presents a variable standardized technique for reductive mammoplasty, based on techniques used by Pontes and Skoog, which is easily performed, carries low risk, and gives good postoperative results. This method enables the surgeon to perform a greater variety of physiologic mammoplasties, through nipple-areola migration by the dermomammary pedicle, which is transformed easily into a dermolateral pedicle, in order to enable wider breast resections and migration of the nipple-areolar complex over greater distances. The localized submammary undermining permits greater reduction of the mammary cone base and larger filling of the upper pole.This method may be applied in any type of breast, even those which are voluminous, hard, and nonelastic.