Techniques for breast reduction vary; however, the most common procedure involves an incision that circles the areola. From the areola, the incision goes down and follows the natural curve under the breast. The surgeon then removes excess glandular tissue, fat, and skin. Next, the nipple and areola are repositioned to a higher position and held in place by stitches. Occasionally, liposuction alone can be used to reduce breast size. The best procedure can be determined during the initial consultation visit.