There are three breast reduction techniques: traditional, with vertical incision and without scars. Traditional: I make two different incisions: one around the nipple and the other round the breast before removing excess fat and skin. once both incisions are made I place the breast, nipple and areola in a higher position, stretch the skin around the breast and sew the incisions. With vertical incision: it is a less invasive incision, but not suitable for women who has extremely large breasts. The incision is made around the areola, in a vertical way along the breast surface, downwards. Without scarring: I use liposuction to reduce breast size. After making small incisions under the armpit in the fold of the breast or in the upper external part, I drain the excess fat and close the incisions.