Mastopexy patients usually are concerned with aesthetic outcomes, making the procedure a challenging one. Besides recreating a youthful, firm breast, a major concern is reducing the extent of scarring. Over recent decades, a number of short-scar techniques have emerged as alternatives. In 2002, Ramirez reported the owl technique, which combines the features of the periareolar and the vertical techniques. Nevertheless, the ideal technique also should improve shape and breast contour to withstand the test of time. The authors aim to show the results from combining the owl technique with the inferior pedicle for the treatment of patients who have mammary ptosis with or without hypertrophy.