There are various surgical techniques for a breast reduction. The technique used by Dr. Dickie involves making an inverted-T incision that circles the areola, extends downward and follows the curve of the crease beneath the breast. Dr. Dickie removes excess glandular tissue, fat and skin to achieve the intended size then re-positions the nipple and areola. In cases where there is excess fat around the armpit or flank area, liposuction may be used to ensure the overall shape is aesthetically pleasing. Usually, the nipples remain attached to their blood vessels and nerves to preserve sensitivity. However, if the breasts are very large, the nipples and areolas may have to be completely removed then grafted into a higher position. There is a risk for decreased sensation in the nipple occurs with this procedure.