Ranch & Coast plastic surgeons perform most breast reductions using a superior pedicle approach, which minimizes scarring and reduces the chance of your breast bottoming out (drooping of the bottom part of the breast). To reduce your breasts, there are several incision options. Most frequently, the surgeon will make an incision around the areola that extends down to the bottom of the breasts. This incision may extend horizontally along the inframammary fold for more extensive breast reduction procedures. Following breast reduction, you will have scars, but the surgeons’s technique and years of experience produce faint and small scars that continue to fade over time.