Background and Design.- The authors perfor¬med inferior pedicle technique in 22 patients with giant breasts in the last 6 years. In this technique, the shape of the breast is created by the inferiorly based dermal nipple-areola complex. Therefore, the breast tissue can be resected in the desired vo¬lume. In this study, the authors reviewed 22 pati¬ents who had giant breasts that required reducti¬ons of more than 1500 gr. of the excess tissue from each breast. Postoperative follow-up ranged between 6 months and 6 years (mean 2.8 years). Results.- There were few complications, none of which affected the outcomes. Conclusion.- The results were judged to be good, both aestetically and functionally.