The most common is known as the inferior pedicle technique as show below. The nipple is raised and excess breast and skin is removed. The trade-off for smaller more shapely breasts are the scars on the breast. Liposuction of the breasts particularly the outer quadrants is sometimes performed at the time of breast reduction surgery. The exact type of procedure will depend on individual patients characteristics and desires.
Scars are around the areola, below it, and in the crease under the breast.
Incisions outline the area of skin, breast tissue and fat to be removed and the new position of the nipple. Skin formerly located above the nipple is brought down and together to reshape the breast.