The female breast is both a functional and a physical organ, and a full and elastic breast is the most significant sign of female physical beauty. Normal breasts weigh about 200 to 350 g. Women with excessive breast development exceeding 350 g are called breast hypertrophy. Breast hypertrophy can cause mobility problems, chest tightness, shoulder, neck and back pain, and moist and erosive breast folds, especially in summer, which can cause great inconvenience to patients’ life and work. At the same time, overdeveloped breasts can cause women to lose their curvaceous contours and even breed serious psychological disorders due to the defective shape. In order to solve this problem morphologically and functionally, in 1908 Dehner described a method of breast fixation that kicked off the plastic surgeon’s challenge to mastopexy. Breast reduction mammaplasty has evolved over nearly a century, resulting in various theories and doctrines, with varying surgical methods and techniques, and there is still no ideal surgical approach. We use the internal superior glandular tissues technique for the treatment of breast enlargement, removing excessive breast tissue above and below the outer surface and reshaping the retained breast tissue. The internal superior glandular tissues retained in this procedure include the penetrating branches emanating from the internal thoracic artery and the intercostal artery above, and the fascial tissues in the posterior mammary space are kept intact on the surface of the pectoralis fascia when peeling and removing the glandular tissues, ensuring the This ensures the integrity of the posterior vascular network of the breast, so that the contoured breast tissue and the nipple areola still have sufficient blood supply sources. This procedure carries the nipple-areola complex purely by means of the superior internal breast tissue flap, which allows a large range of movement of the nipple-areola due to the absence of the dermal tissues, thus avoiding impaired blood supply caused by twisting or compression of the tissues during the transfer process. In addition, because the superior medial quadrant tip can provide abundant blood supply, thus avoiding ischemic necrosis of the nipple areola, reducing the chance of postoperative complications such as infection and delayed healing of the incision, and preserving the sensation of the breast. Moreover, the breast tissue preserved in the upper inner quadrant provides sufficient support for the nipple areola, reshaping the breast with an uplifted shape and natural fullness of the upper pole, and avoiding postoperative breast flattening. In addition, because this procedure increases the flexibility of glandular contouring, the surgeon has a greater choice in removing the hypertrophic breast tissue according to the patient’s condition and requirements, making the contouring more arbitrary and personalized, which not only improves the aesthetic results, but is also very suitable for cases with severe breast asymmetry. To date, 36 cases with 72 breasts have been treated with good postoperative morphology, no complications, good sensation of the nipple areola and satisfactory results. The internal supraglandular tip technique is a safe, simple and effective surgical method with a tendency to maintain good long-term results. By choosing different types of skin incisions it can be applied to the correction of different degrees of breast enlargement and is a more ideal procedure for breast reduction.