The low nipple is lifted to the level of the crease under the breast (blue line) and the skin in the orange area is removed. The nipple is lifted along the vertical arrow and the skin below the nipple is sutured following the horizontal arrows. With a breast reduction, mammary gland tissue is also removed. The breast will then be smaller and firmer, with the nipple in the optimal position. The scar runs along the edge of the nipple and then vertically downward.