Breast reduction is intended to reduce the oversized volume of the breasts to an appropriate level. Excess breast and fatty tissue as well as irritating areas of skin are surgically removed. The nipple complex is also brought back into a pleasant, aesthetic position. During breast reduction, skin incisions are made that resemble a keyhole pattern. The so-called I-cut is made around the nipple, then vertically down to the lower breast crease. T- or L-shaped incisions also leave a small horizontal scar in the lower breast crease area. Finally, there is the periareolar incision, which is made in a circle around the areola. The doctor must decide on a case-by-case basis which incision is best for the patient.