There are many different techniques to perform a breast reduction. These techniques are very similar to the one used to a breast lift or mastopexy. Breast reduction techniques will also lift the breast as well and these techniques most commonly for very large breasted women will require an anchor type incissions which is around the border of the areola down from the nipple to the fold and along the border of the fold. In those patients that do not need a large reduction I will commonly use what’s called a vertical breast reduction technique employing just incission around the areola and along the nipple to fold. These are very common techniques and are very successful operations.