For a breast reduction, incisions are placed around the areola in an effort to slide it into its proper position followed by removal of excess sagging breast tissue and skin. Sometimes the incision may be limited to just around the areola. In other cases, the incision may involve an incision in the shape of an upside down “T” or “anchor” that extends from the areola down the center portion of one’s breast and then into the inframammary fold. According to Dr. Pinsky, a West Palm Beach plastic surgeon, the amount of incisions are determined by the amount of lifting that is required.