Breast reduction is no longer just about size; it’s about shape, contour, and proportion. One of the most desired yet often overlooked aesthetic goals in reduction mammoplasty is achieving upper pole fullness, the youthful curve above the nipple that gives the breast its naturally lifted appearance.
Yet, traditional breast reduction techniques often lead to flat or hollow-looking upper breasts, prompting many patients to seek additional procedures like implants or fat grafting. But what if there was a way to achieve both relief and beauty, without needing implants?
Welcome to the Upper Pole Fullness Breast Reduction using the innovative RG Flap Technique, developed and perfected by renowned breast surgeon in Delhi, Dr. Rajat Gupta. This advanced approach is designed to preserve and enhance the upper pole projection during breast reduction surgery, ensuring you don’t just feel better, you look better too.
Let’s explore why upper pole fullness matters, what makes this new technique superior, and how it’s changing lives for women who want both functional and aesthetic transformation from their breast reduction journey.
What Is Upper Pole Fullness in Breast Reduction Surgery?
When we talk about a youthful, naturally perky breast shape, what we’re really referring to is upper pole fullness, the gentle outward curve in the top half of the breast above the nipple. This is what creates a lifted, projected look without the need for external support like padded bras or implants.Unfortunately, most traditional breast reduction techniques focus primarily on removing excess tissue and reshaping the lower part of the breast. While this reduces size and relieves discomfort, it often leaves the upper pole looking deflated, hollow, or “empty.” As a result, the breast may appear flat or bottom-heavy, with most of the volume sitting below the nipple line.
Why is this a problem?
Because upper pole fullness is key to a balanced, aesthetic breast contour. It:
- Enhances the side profile and cleavage
- Gives the illusion of a more youthful, lifted chest
- Balances the proportion between upper and lower poles
- Plays a critical role in overall breast aesthetics after reduction
This is where the Upper Pole Fullness Breast Reduction using the RG Flap Technique changes everything. By specifically addressing the upper pole and ensuring it remains naturally full and projected, this innovative method delivers results that are not just medically beneficial but visually transformative as well.
Have questions or want to get started? We are ready to help you with a smile!
Problems with Traditional Breast Reduction Techniques
While conventional breast reduction surgery has helped countless women reduce pain, improve mobility, and restore confidence, it isn’t without limitations, especially when it comes to long-term shape and projection.
Here are the common aesthetic issues associated with traditional techniques:
- Loss of Upper Pole Projection
Most techniques don’t preserve tissue in the upper part of the breast, leading to a flat or scooped-out appearance above the nipple. This can leave the chest looking prematurely aged or deflated, even if the breast is smaller and lighter.
- Bottom-Heavy Appearance
When the reduction focuses on the lower breast, all the volume ends up sitting beneath the nipple. This results in a “bottomed out” look, where the nipple points upward unnaturally or the lower pole appears bulky and stretched.
- Need for Implants or Fat Grafting
Many patients dissatisfied with the outcome of standard breast reduction later seek implants or fat transfer to restore lost upper pole volume, adding cost, risk, and more surgery to the process.
- Rapid Shape Changes
Because the breast isn’t internally supported, the results may change within a few months. Patients might notice sagging or volume shifts soon after surgery, particularly if their skin quality is poor or they have heavy glandular tissue.
- Scar Positioning & Support Issues
Traditional methods often lack precise internal architecture, which may lead to unnatural scar placement, downward nipple migration, or asymmetry over time.
These drawbacks point to a clear need for a technique that not only reduces breast volume but also enhances shape, supports the internal structure, and delivers lasting upper pole fullness.
Enter the RG Flap Technique for Breast Reduction, pioneered by Dr. Rajat Gupta, to address exactly these concerns.
The Edge: Introducing the RG Flap Technique
To overcome the aesthetic limitations of traditional breast reduction, Dr. Rajat Gupta introduced a game-changing innovation: the RG Flap Technique for Breast Reduction. Developed at his NABH-accredited surgical centre in Delhi, this technique is designed to preserve and enhance upper pole fullness, without the need for implants or fat grafting.
So, what exactly is the RG Flap Technique?
At its core, it’s a dual-flap approach that strategically utilises the patient’s own breast tissue to create long-lasting upper pole projection while still achieving volume reduction. It combines a superior pedicle technique with a centrally based autologous flap, now known as the RG flap, which is anchored in the upper pole area to provide natural, long-term support and fullness.
Here’s what sets it apart:
- It uses your own breast tissue as an internal “auto-implant”
- It reshapes and repositions the breast from the inside out
- It’s tailored to Indian anatomical and aesthetic preferences
- It ensures that the breast looks naturally full, lifted, and youthful, even years after surgery
By building in upper pole support from the beginning, this method eliminates the common post-surgical complaints of droopiness, hollowness, or asymmetry. And the best part? It’s all done without foreign materials, ensuring both aesthetic excellence and surgical safety.
The RG Flap Technique is rapidly becoming the preferred choice for women seeking breast aesthetics after reduction, because it finally solves a problem that traditional methods have long ignored: how to make reduced breasts look better, not just smaller.
Step-by-Step: How the RG Flap Surgery Works
Understanding how the RG Flap Technique for Breast Reduction is performed helps patients appreciate the precision, planning, and artistry that go into achieving upper pole fullness and a beautifully balanced silhouette.
Here’s a simplified breakdown of the surgical steps involved:
- Pre-Operative Marking and Planning
Dr. Rajat Gupta begins by assessing your breast anatomy, degree of ptosis (sagging), tissue quality, and overall body proportions. Detailed markings are made to the plan:
- Skin excision zones
- Nipple-areola repositioning
- Flap design and anchoring points
The goal is to preserve enough tissue for structural support while removing enough volume for comfort and aesthetics.
- Superior Pedicle Preservation
In this technique, the superior pedicle, the tissue stalk that holds the nipple and areola, is preserved to maintain blood supply, sensation, and lactational ability. This makes the procedure safer and more functional, especially for younger patients.
- Creation of the RG Flap
A central portion of the breast tissue is sculpted into a flap and anchored to the upper pole (behind the pectoral fascia) where it acts as a natural “implant.” This is the signature move that gives the breast its:
- Youthful upper curve
- Long-lasting projection
- Internal volume and support without external materials
This internal flap is autologous (your own tissue), which reduces complications and improves longevity.
- Shaping the Lower Pole
Excess tissue from the lower and lateral poles is removed to eliminate sagging and heaviness. The remaining breast mound is tailored around the anchored RG flap to create a harmonious, conical shape.
- Nipple Repositioning and Skin Closure
The nipple-areola complex is lifted to its ideal position using precise, symmetrical techniques. Incisions are closed in layers to reduce tension and promote healing. The final result is a scar that fades beautifully over time, with breasts that look naturally full, lifted, and balanced.
- Support and Contouring
Internal sutures and shaping ensure that the breast stays in position during healing. This step helps maintain symmetry and prevents the dreaded “bottoming out” seen in many traditional reductions.
The entire procedure is performed under general anaesthesia at Excel Hospital, using advanced surgical tools and protocols to minimise bleeding, swelling, and post-operative discomfort. Most patients return home the same day or within 24 hours.
The RG Flap Technique is more than just a breast reduction; it’s a breast reshaping procedure that respects the natural beauty of the female form while solving the physical burdens of overly large breasts.
Our patient suffered from shoulder and neck pain due to heavy breasts. She desired a normal-looking breast that suited her body size and looked good. A normal breast size that didn’t restrict her choice of clothes.
We performed breast reduction surgery along with breast lift for our patient.
We reduced the size of her breasts and gave her a nice size and shape including designer cleavage.
Our patient is a young doctor and mother of two who was experiencing significant discomfort due to heavy breasts, resulting in back and neck pain. She desired a natural-looking result. The photos you see were taken four months after her breast reduction surgery.
The surgery gave her a fuller yet natural-looking appearance that harmoniously complements her overall figure.
For a long time, our patient dealt with the challenges of having heavy breasts, which took a toll on her both physically and emotionally.
The breast reduction surgery gave her a fuller yet natural looking appearance that harmoniously complemented her overall figure, creating a balanced and attractive silhouette.
The breast reduction surgery not only addressed our patient's concerns regarding size and sagging but gave her a fuller yet natural looking appearance that harmoniously complemented her overall figure, creating a balanced and attractive silhouette.
We performed breast reduction surgery for our patient and removed about 1.4 kgs of weight from each side. Breast reduction is far from simply "chopping off" breasts. It involves the art of sculpting and reshaping the breasts, considering the patient's unique anatomy and desired outcome .
The surgery had a profound impact on our patient’s life enabling her to embrace newfound freedom, comfort, and self-assurance.
Benefits of the RG Flap Technique Over Traditional Methods
The RG Flap Technique for Breast Reduction goes far beyond traditional reduction methods. While conventional techniques focus only on reducing size, the RG Flap is designed to reshape, support, and rejuvenate the breast, making it a complete aesthetic and functional solution.
Here’s why more women (and surgeons) are choosing the RG Flap:
- Natural Upper Pole Fullness Without Implants
This technique creates a visible upper pole projection using your own tissue. No synthetic implants or fat grafting are required to achieve that youthful upper curve, making the result feel and look more natural.
- Long-Term Shape Retention
Because the RG flap is anchored internally, it acts like an internal scaffold, resisting the pull of gravity over time. This means:
- Less risk of “bottoming out”
- More symmetrical and youthful contours
- Results that stay stable for years
- Balanced Aesthetics—Top to Bottom
With traditional reductions, the lower pole often dominates, leading to a bottom-heavy look. The RG Flap ensures volume is distributed evenly, creating a harmonious silhouette where the upper and lower poles are in visual balance.
- Better Patient Satisfaction
Dr. Rajat Gupta’s clinical study has shown significantly higher satisfaction rates in patients who received the RG Flap versus standard techniques. Patients report feeling:
- More confident in fitted clothing
- Happier with their side profile
- Less reliant on push-up bras or external support
- No Additional Surgeries Required
Many women who undergo traditional reduction later consider implants or fat grafting to improve fullness. The RG Flap eliminates this need from the start, saving cost, recovery time, and surgical risk.
- Preserved Function and Safety
The superior pedicle technique ensures that blood supply and sensation to the nipple-areola complex are preserved, making this method:
- Safe for younger patients
- Compatible with future breastfeeding
- Low in complication risk
- Ideal for Indian Body Types
This technique has been specially developed by Dr. Rajat Gupta for Indian women, factoring in common anatomical patterns, skin quality, and aesthetic preferences. It delivers natural-looking enhancement tailored to desi proportions.
Simply put, the RG Flap Technique doesn’t just reduce, it rebuilds, refines, and rejuvenates the breast from within. It’s the modern answer to an age-old problem: how to feel lighter, look younger, and still retain natural beauty.
Are You a Candidate for Upper Pole Fullness Breast Reduction?
The Upper Pole Fullness Breast Reduction using the RG Flap Technique is ideal for women who want not just relief from the symptoms of large, heavy breasts, but also a youthful, naturally lifted breast shape that looks great without additional implants or padding.
You may be a good candidate if you:
Experience Physical Discomfort
Chronic neck, back, or shoulder pain caused by the weight of your breasts is one of the main reasons women seek reduction surgery. The RG Flap technique provides the same volume relief while improving the breast contour more aesthetically.
Are Unhappy With Droopy, Bottom-Heavy Breasts
Even after past breast surgery or weight loss, your breasts may look deflated or lack upper pole volume. The RG Flap can correct sagging, rebuild lost projection, and create a more lifted, rounded shape.
Seek a Natural Look Without Implants
If you want the upper pole fullness that implants give, but without foreign materials, the RG Flap is the best alternative. It uses your own tissue for a completely natural result.
Want Long-Lasting Results
The internal flap anchoring system helps preserve shape and projection over time, even in women with less skin elasticity or heavier glandular tissue.
Are Physically Healthy
Ideal candidates are in good general health, non-smokers, and have a stable BMI (preferably under 30). This ensures safe anaesthesia, smooth healing, and optimal aesthetic outcomes.
Who Is Not an Ideal Candidate?
- Women with unrealistic expectations (e.g., extremely high projection in very large breasts)
- Patients with uncontrolled comorbidities like diabetes or heart disease
- Smokers unwilling to quit (as it compromises healing and blood flow)
- Individuals with previous radiation therapy to the chest
- Those expecting dramatic breast enlargement, this is a reduction-focused technique
If you’re unsure whether you’re a good fit, a personalised consultation with Dr. Rajat Gupta, a trusted breast surgeon in Delhi, will help assess your anatomy, goals, and safety profile to determine the best path forward.
Recovery Timeline and Post-Op Care
Recovery after an Upper Pole Fullness Breast Reduction using the RG Flap Technique is typically smooth, predictable, and tailored to enhance healing while preserving the sculpted shape.
Here’s what to expect after your surgery with Dr. Rajat Gupta:
Day 0: Same-Day Mobilisation
- Most patients are able to walk within 4–6 hours after surgery
- Discharge is usually on the same day or within 24 hours
- Mild tightness or pressure is expected around the chest
Days 1–3: Initial Healing
- You’ll wear a supportive surgical bra (no underwire)
- Pain is usually well-managed with oral medication
- Swelling and mild bruising may appear but subside in 5–7 days
- Dressings are kept dry and undisturbed unless advised
Day 4–7: Sutures & Drain Management
- Small drains (if placed) are usually removed within 2–3 days
- Sutures used are absorbable; no need for removal
- A gentle cleaning and wound check is done in the clinic
Week 2: Gentle Resumption of Activities
- You may return to light desk work or home activities
- Lifting heavy objects or raising arms above the shoulders should still be avoided
- Scar care begins with silicone gel or prescribed creams
Week 4: Contour Sets In
- Swelling continues to reduce
- The shape of the upper pole fullness becomes more visible
- Most patients feel comfortable resuming non-strenuous workouts
Week 6: Full Activity Allowed
- You can resume gym, yoga, or swimming after Dr. Gupta’s clearance
- Final breast shape continues to refine over 3–6 months
- Continue scar care and follow-up as directed
Long-Term Care Tips:
- Always wear a supportive bra, even after full healing
- Maintain a stable weight to preserve surgical results
- Monitor for any unusual swelling, firmness, or asymmetry
- Annual follow-ups are recommended to track aesthetic and functional outcomes
Because the RG Flap is an internally anchored technique, it promotes longer-lasting support and better shape retention compared to traditional methods. And with personalised post-op care, you’re never left guessing.
Dr. Rajat Gupta and his team at Excel Hospital, Delhi, ensure that each patient receives a custom healing plan, scar management protocol, and contour monitoring for the most refined outcome possible.
Why Choose Dr. Rajat Gupta for Breast Reduction in Delhi?
When it comes to breast reduction surgery in Delhi, few surgeons bring together surgical innovation, published research, and a patient-first mindset like Dr. Rajat Gupta.
As the pioneer of the RG Flap Technique, Dr. Gupta has elevated the standard of aesthetic breast surgery in India. His work goes beyond basic reduction; it’s about restoring harmony, confidence, and long-term satisfaction.
What Sets Dr. Gupta Apart?
Innovator & Thought Leader
- Gupta is the first Indian plastic surgeon to publish the RG Flap Technique in international journals, including the Aesthetic Surgery Journal Open Forum.
- He regularly trains other surgeons in India and abroad on high-definition body contouring and breast reshaping techniques.
State-of-the-Art Facility
- All surgeries are performed at Excel Hospital, New Delhi, a NABH-accredited facility with world-class infrastructure, modular OTs, and ICU-level post-op support.
Proven Results
- Over 200+ breast reductions performed with the RG Flap since its introduction, with over 95% patient satisfaction
- Minimal complication rates and exceptional long-term contour retention
Customised Aesthetic Planning
- Every patient receives a 3D consultation and personalised plan that takes into account:
- Skin type & elasticity
- Nipple-to-inframammary fold distance
- Desired upper pole projection
- Physical concerns like pain, posture, or asymmetry
Compassionate, Transparent Care
- From the first consultation to post-op recovery, Dr. Gupta’s team provides detailed education, healing guidance, and open communication. No unrealistic promises. Just science-backed, safe surgery that puts you first.
Book Your Personalised Consultation Today
Don’t settle for outdated techniques or underwhelming results. If you’ve been living with discomfort, self-consciousness, or disappointment from previous surgeries, it’s time to experience the next generation of breast reduction.
Discover what the RG Flap Technique can do for your confidence, posture, and natural beauty.
Book your consultation now with Dr. Rajat Gupta, India’s leading breast and body contouring specialist.
FAQs About RG Flap Technique for Breast Reduction
The RG Flap Technique is an innovative approach developed by Dr. Rajat Gupta to restore upper pole fullness during breast reduction surgery. It uses a dermoglandular flap from your own breast tissue, anchored internally to provide natural volume and lift, without implants or fat grafting.
Traditional methods reduce breast size but often leave a flat or bottom-heavy appearance. The RG Flap Technique adds internal support and fullness to the upper breast, creating a balanced, lifted contour that holds its shape longer.
No. The RG Flap Technique uses your natural breast tissue to recreate volume in the upper pole. This eliminates the need for synthetic implants, making it safer and more natural-looking.
Yes. The flap is vascularized and internally anchored, which means it maintains blood supply, minimises complications, and provides long-term shape retention. Dr. Rajat Gupta has performed this procedure on hundreds of patients with excellent safety outcomes.
Women with large, sagging breasts, physical discomfort (like back/neck pain), and those who desire natural upper pole fullness without implants are ideal candidates. A stable BMI under 30 and good health are important for safe surgery and recovery.
Recovery includes 1 week of light rest, support bra use for 6 weeks, and full activity by Week 6. Patients can walk within hours after surgery and typically resume desk work in 7–10 days. The shape improves over 3–6 months with visible upper pole definition.
Yes. The RG Flap Technique is often used in revision breast surgeries where patients were left with droopy, flat, or asymmetrical breasts. It restores contour, improves projection, and reduces the need for secondary procedures like fat grafting.
Dr. Rajat Gupta
MBBS, MS, DNB(Gen. Surg.),
DNB (Plastic Surgery)
Dr. Rajat Gupta is a board certified plastic surgeon in India with 15 years of experience to back his expertise in the domain of aesthetic surgeries.
Having completed his training from Maulana Azad Medical College and equipped with a thorough understanding of aesthetic needs of people, Dr. Gupta strives to offer the best remedies and cosmetic procedures outfitted with the latest technology to the aspirants in India and across the globe. To book an appointment, call: +91-9251711711 or email: contact@drrajatgupta.com
