Breast reduction is a surgery done to reduce the size of large breasts. Breast reduction reduces the volume of the breast tissue, but at the same time it decreases the amount of skin and adjusts the nipple position, so the breast is lifted at the same time. There are many types of incisions, but most fall into the pattern of circum-vertical and wise-pattern incisions shown below. The incision chosen is closely related to how much breast tissue and skin you have to remove. With the circum-vertical incision, sometimes called the owl or snowman shaped incision, the skin is removed mostly in the central portion of the breast. This can lengthen the distance to the inframammary fold and the nipple, so to correct this a transverse incision may be added, to make the bottom of the scar end in a small inverted “T” at the inframammary fold. When there is too much skin to be removed to use a circum-vertical incision, the Wise pattern is often use. Here, some tissue removed centrally, but the excess in the lower breast is also removed in a crescent shape, resulting in an inverted “T” or anchor shaped scar.