The results of two methods of reduction mammaplasty commonly used in our department were analysed: the superomedial technique and the central cone (C.C.) technique recently described by Ramselaar . Data were prospectively collected and measurements were focused on the position of the nipple-areolar complex. Information was obtained from 27 consecutive patients, who had a reduction on both sides. The follow-up period was 10 18 months. 19 patients participated in the follow-up study. The groups were comparable with regard to weight, height and age. Although the nipple areolar complex was differently positioned in both methods, this differance disappeared after operation and the amount of sagging of the breasts was identical. The number of postoperative complications was nearly the same. The C.C. technique resulted in more blood loss. The width of the inframammary scar was narrower in the C.C. group. The subjective sense in the nipples changed comparably in both techniques. Although both techniques differ substantially, the late results are similar according to the parameters used. Other factors should determine the choice of reduction mammaplasty technique.