Different techniques were described for reduction mammoplasty aiming at restoring the aesthetic shape of the breast, lifting the nipple and the areola complex to the normal or ideal position and also reducing the size of the breast according to aesthetic ideals of the patient and the surgeon. The shape of the scar was one of the most important issues in the technique of reduction mammoplasty in huge breasts, and the most common scar was the inverted- T scar as in traditional McKissock technique .New techniques were developed to improve the shape of the scar as the technique developed by Donald H. Lalonde (2003) to eliminate the vertical limb of the inverted T shaped scar. In this study we will compare the 2 techniques regarding the aesthetic results and the rate of complications.