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RESULTS Group A/Group B 74/97 patients were operated bilaterally and 28/24 unilaterally. The amount of resected tissue ranged from 102-620 g to 30-810 g. Average BREAST-Q score for satisfaction with outcome was 82.3/86.1. POSAS was scored 35.2/37.6 to 23.2/24.4. Bottoming out after surgery was observed in 12 of 102 patients in Group A and 6 of 131 in Group B in the follow-up visits at 12, 18, and 36 months. CONCLUSION The described technique proved to be fast, safe, and reliable, with a high level of patient satisfaction, less bottomin