There are a variety of reduction procedures available, and numerous incision patterns that can be used. The doctor typically uses an anchor-shaped breast reduction incision, which travels around the nipple, down to the base of the breast, and along the inframammary fold. This incision allows the surgeon to remove excess skin from the bottom half of the breast. In many cases, liposuction is also used to remove fatty tissue from inside the breast. After removing the appropriate tissue, the doctor relocates the nipple and closes the incisions to create smaller, perkier breasts that feel more comfortable and fit the patient's body better.