Modern mammoplasty is supported by the binomial “less surgery-more plastic.” State-of-the-art reduction and mastopexy techniques favor tiny scars without impairing shape and function. Reduction mammoplasty went through numerous evolutionary stages until reaching the maximum of glandular and cutaneous resection, only in the areolar perimeter and avoiding the undisguised vertical breast scar. It turns out that with ample breast reduction it is impossible to obtain a good final shape without at least a vertical compensation. Based on good experience with Pitanguy’s, Ariê-Pitanguy’s, McKissock’s, Dufourmentel-Mouly’s and Benelli’s techniques, it has been chosen the obliquity combined with the periareolar technique, resulting in the oblique-areolar form, the target of the mammoplasty beginnings. From the experience with small breasts, we evolved to reach the method in medium and large hypertrophies. Our choice is justified by the fact that in the postoperative frontal view of conventional mammoplasty, the presence of a vertical scar (of good or bad quality) stigmatizes the gracefully projected lower breast pole. The sides of this bulging lower pole act as the “corners” of the breast, given that the light incidence is greater, erasing any trace of scarring. As it is of cosmetic interest in mammoplasty for more than 100 years, the authors believe that this is a contribution to the theme.