After delineating the surgical incision-plan that establishes a technically reliable central axis of the front torso, and before cutting into the breast(s), the plastic surgeon confirms the topographic accuracy of the delineated incision plan, by triangulating the measures at the upper sternum and at the umbilicus, and modifying the incisional lines, if required. Afterwards, the surgical incision lines are infiltrated to the breast skin with a local anaesthetic mixture (lidocaine 1.0% and epinephrine 1:100,000) that constricts the pertinent vascular system to limit bleeding.