Breast reduction surgery, also known as reduction mammaplasty, is a surgical procedure designed to reduce the size and reshape the breasts to alleviate physical discomfort, improve body proportion, and enhance self-confidence. There are several techniques used by plastic surgeons to perform breast reduction:

1. Traditional Incision Technique: This technique involves creating anchor-shaped incisions around the areola, extending vertically down to the breast crease, and horizontally along the crease. Through these incisions, excess breast tissue, fat, and skin are removed. The nipple-areola complex is repositioned to a higher, more natural position, resulting in smaller, lifted breasts.

2. Vertical Incision Technique (Lollipop or LeJour Technique): In this method, incisions are made around the areola and vertically down to the breast crease, resulting in a lollipop-shaped scar. This technique is suitable for patients with moderate breast size reduction needs and produces less scarring compared to the traditional incision technique.

3. Liposuction-Assisted Breast Reduction: Liposuction may be used as a stand-alone technique or in conjunction with other methods to remove excess fat from the breasts. This technique is ideal for patients with good skin elasticity and minimal excess skin. Liposuction can help reduce breast volume and reshape the breasts with minimal scarring.

4. Scarless Breast Reduction Techniques: Some newer techniques, such as the Bellesoma Method or the Ultimate Breast Reduction, aim to reduce breast size and lift the breasts without traditional anchor or lollipop-shaped incisions. These techniques utilize internal sutures to reshape the breast tissue and provide long-lasting results with minimal scarring.

5. Minimal-Incision or Short-Scar Techniques: These techniques involve shorter incisions than traditional methods, resulting in less scarring and faster recovery. Examples include the circumareolar or periareolar incision technique, where incisions are made around the areola only. These techniques are suitable for patients with minimal to moderate breast reduction needs.

It is essential to consult with a board-certified plastic surgeon to determine the most suitable technique for your individual needs and goals. Proper preoperative evaluation, realistic expectations, and meticulous surgical technique are crucial for achieving optimal outcomes in breast reduction surgery.