The Robertson technique of reduction mammaplasty was first reported in 1964 in an attempt to preserve the natural inferior breast contour for very large as well as small reductions [1–4]. The original technique used a bell-shaped incision and free-nipple grafing [1]. The procedure has since been “modified” to include inferior pedicled soft issue encompassing the nipple–areola complex, retaining its sensation and viability [5, 6]. The bell-shaped curvilinear markings have the advantages of versatility, especially in larger reductions, inframmary crease preservation, easy intraoperative markings, good nipple projection, and reduction of “bottoming-out.” Pseudoptosis or “bottoming-out” with this technique is minimized because the infraareolar dermal skin pedicle is not disrupted, maintaining stronger inferior support to the breast mass.