Breast Reduction Techniques

Q: Will the technique affect my ability to breastfeed?

Most women are able to breastfeed after breast reduction . Dr. Reilly uses techniques that preserve function, and if breastfeeding is a priority for you, mention it at your consultation so he can factor it in.

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There are four main breast reduction techniques out there: anchor, vertical, donut, and liposuction only. Learn more about them and why the anchor pattern is the most common one used.

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Getting to Know Breast reduction techniques

Not every breast reduction is the same. The technique Dr. Reilly uses depends on your breast size, the amount of tissue that needs to be removed, your skin quality, and how much sagging is present. He’ll determine the best approach for your body during your consultation.

The following sections will walk you through the anchor, vertical, donut, and liposuction only methods.

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At a glance

Each technique offers a different balance of reduction ability, incision pattern, and recovery. Here’s a quick overview before we go deeper into each one.

Anchor

Most common

Three incisions: around the areola, vertical to the crease, and along the breast fold.

Best for: Large reductions, significant sagging, nipple repositioning

Vertical / Lollipop

Moderate reductions

Two incisions: around the areola and vertical to the breast crease.

Best for: Moderate reductions with less scarring than the anchor

Donut (periarelor)

Minor reductions

Single circular incision around the areola. No vertical or horizontal cuts.

Best for: Minor reductions, areola resizing

Liposuction Only

Rarely used

Tiny incisions only. No traditional surgical cuts.

Best for: Mild reductions in patients with mostly fatty tissue

Anchor technique (inverted-T / wise pattern)

The anchor technique is the most commonly used method in breast reduction surgery, and it’s the technique that is performed most often. It’s named for the shape of the incision pattern, which resembles an upside-down “T” or an anchor. Three incisions are made: one around the areola, one running vertically down to the breast crease, and one along the fold beneath the breast.

This approach gives Dr. Reilly the most control over tissue removal, reshaping, and nipple repositioning. It’s the standard for patients who need a significant reduction, have a high degree of sagging, or require removal of several hundred grams of tissue per breast. For the majority of breast reduction patients, this is the technique that delivers the best results.

Who it’s for

Women with very large or heavy breasts, significant sagging, or those who need the nipple repositioned higher on the chest. This covers the majority of breast reduction patients.

What to know about scarring

The anchor technique produces the most scarring of any method, but the horizontal scar hides in the natural breast fold. All scars fade significantly over the first 12 to 18 months with proper care.

Why this is the most common technique

Most women seeking breast reduction have large, heavy breasts with moderate to significant sagging. The anchor technique is the only method that provides enough access to remove substantial tissue, reshape the breast fully, and create a lifted, natural result. Other techniques are more limited in what they can accomplish.

Vertical technique (lollipop)

The vertical technique uses two incisions: one around the areola and one running straight down from the bottom of the areola to the breast crease. The resulting scar pattern looks like a lollipop.

This approach works well for patients who need a moderate reduction and still want reshaping and a noticeable lift, but don’t require the full access that the anchor provides.

Less scarring than the anchor

No horizontal incision along the breast fold means less visible scarring overall.

Effective for moderate reductions

Can achieve a noticeable change in breast size while still producing a natural, lifted shape.

Faster healing

Fewer incisions generally mean less swelling and a slightly shorter recovery compared to the anchor method.

Not ideal for large reductions

If you need a significant amount of tissue removed or have severe sagging, the anchor technique is the better option.

Donut technique (periareolar)

The donut technique is the least invasive surgical option for breast reduction. It involves a single circular incision around the edge of the areola, with no vertical or horizontal cuts. Since the scar sits right along the border of the areola, it tends to blend in well over time.

This method is best suited for patients who need only a minor reduction in size or who want to resize the areola as part of the procedure. It offers the least visible surgical scarring of any traditional technique. However, its limitations are significant. The donut approach does not allow for major tissue removal, substantial reshaping, or correction of moderate to severe sagging. For that reason, it’s not appropriate for most breast reduction patients.

We may recommend this technique for patients with smaller breasts who are looking for a subtle change, or in cases where it’s combined with another procedure. During your consultation, we will let you know if this approach can realistically deliver the results you’re looking for.

Liposuction-only breast reduction

Liposuction-only breast reduction is a minimally invasive option that removes excess fat from the breasts through tiny incisions, usually less than a centimeter long. There are no traditional surgical cuts and virtually no visible scarring. Recovery is measured in days rather than weeks.

When liposuction is the right fit

Liposuction-only breast reduction is rarely used and only appropriate for a narrow group of patients. It works best for women whose breasts are primarily composed of fatty tissue rather than dense glandular tissue. It cannot reshape the breast, reposition the nipple, or address significant sagging.

Most women who seek breast reduction have a combination of glandular tissue, fat, and excess skin that requires a surgical approach. For most patients with symptoms, combining reshaping with tissue removal delivers the lasting relief you’re looking for. We will assess your breast composition during your consultation and let you know if this option is realistic for your situation.

When it works

Breasts are mostly fatty tissue
Good skin elasticity
Mild reduction needed
Correcting breast asymmetry
Scarring is a top concern

When it doesn’t

Dense or glandular breast tissue
Moderate to severe sagging
Significant size reduction needed
Nipple repositioning required
Insurance coverage is a factor

How We determine your technique

The technique used in your breast reduction is a medical decision, not a menu. We evaluate several factors during your breast reduction consultation to determine which approach will give you the safest, most effective results.

Your breast size and composition: Larger, denser breasts typically require the anchor technique. Breasts with more fatty tissue may respond to less invasive options.
Degree of sagging: Significant sagging usually calls for the anchor or vertical technique, which can reposition the nipple and remove excess skin.
Amount of tissue to remove: The more tissue that needs to come out, the more access is needed. Larger reductions favor the anchor approach.
Skin elasticity: Patients with good skin elasticity may be candidates for less invasive options, though this is only one of many factors.
Your goals: We factor in your preferences, but the final technique is based on what will deliver the best outcome for your body.

You’ll leave your consultation with a clear understanding of which technique is recommended and why it’s the right choice for you.

What about scarring?

Scarring is one of the most common concerns patients have about breast reduction. Every surgical technique leaves some degree of scarring, but there are a few important things to keep in mind.

First, breast reduction scars fade significantly over time. Most become thin, flat lines within 12 to 18 months. Second, Dr. Reilly places incisions strategically so that scars are hidden beneath bras, swimwear, and clothing. Third, your post-op scar care routine plays a big role in how your scars heal. Our Connecticut Breast Reduction Center team will give you detailed instructions to help minimize their appearance.

For a deeper look at what to expect, you can learn about breast reduction scarring.

Common questions about breast reduction techniques

Patients often have questions about the differences between techniques. Here are a few we hear most often.

You’re always welcome to share your preferences, especially around scarring. But the technique is ultimately a medical decision. We select the approach that will deliver the safest, most effective results based on your anatomy. We will explain the recommendation and walk you through the reasoning during your consultation.

Insurance coverage is based on medical necessity and the amount of tissue removed, not the specific technique. However, liposuction-only reductions are less likely to be covered since they remove fat rather than glandular tissue.

Most women are able to breastfeed after breast reduction. Dr. Reilly uses techniques that preserve function, and if breastfeeding is a priority for you, mention it at your consultation so he can factor it in.

Recovery timelines are similar across surgical techniques, though the anchor method may involve slightly more swelling. Liposuction-only reduction has the fastest recovery, with most patients back to normal activities within a few days.

Find the right technique for your body

The best way to determine which breast reduction technique is right for you is to meet with Dr. Reilly in person. He’ll evaluate your anatomy, listen to your goals, and recommend the approach that will deliver the best results.

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