Techniques for breast reduction vary but the most common procedure involves an anchor- shaped incision that circles the areola, extends downward and follows the natural curve of the crease beneath the breast. Occasionally in breast reductions when only fat needs to be removed, liposuction can be used to reduce the breast size leaving minimal scars.

In most cases in breast reduction surgery, the nipples remain attached to their blood vessels and nerves. However, if the breasts are very large or pendulous, the nipples and areolas may have to be completely removed and positioned into a higher position. This will result in a loss of sensation in the nipple and areola tissue.