Firstly, surgical management of Preventing Mastectomy and Implant Based Reconstruction is easier in small and moderate ptotic breasts, rather than in big and extensive breasts. Whereas, in patients with macromastia a reduction or mastopexy procedure is needed in order to achieve the desirable shape and position of the breast. In this category of patients viability and survival of Nipple Areola Complex is unsecure. Thus, this technique describes the performance of Preventing Mastectomy using a three pedicle dermal flap that supports blood supply of the NAC and increases the survival rate. All patients who underwent the three pedicle technique had been operated at the Plastic Surgery Department of Nicosia General Hospital between October of 2013 and October of 2015, by the writer.