After establishing the dimensions of the new nipple-areola complex, the surgeon de-epithelializes the medial pedicle skin-flap that provides the venous-arterial vascular system for the nipple-areola complex. The first incisions are through the parenchymal tissue, and separate the medial pedicle. The incision is effected to avoid undercutting the skin pedicle and so preserve the nipple-areola complex blood-supply vessels. Hence, the tissue volume of the pedicle flap is essential for establishing the adequate projection of the upper pole of the breast, where the breast originates from the chest. The surgeon resects (cuts and removes) an almost-triangular segment of tissue below the medial pedicle. Finally, for emplacing the nipple-areola complex, the incisions are completed by cutting the ellipse and the tissue adjacent to the medial pedicle.