To do a breast reduction, scars must be made around the breast. There are several techniques that can be used, but the two most popular are the anchor shape and the lollipop shape.
The traditional way to perform a breast reduction leads to scars around the nipple/areolar, down from this to where the breast meets the chest wall and then across from near the armpit to near the most middle part of the breast. This is called the Wise pattern, or anchor scar technique.
The lollipop scar technique is also called the vertical scar technique and the short scar technique. This involves a scar around the nipple/areolar and down from here to where the breast meets the chest wall. Both techniques have their advantages and disadvantages.
The Wise pattern is often used in cases where a large amount of breast tissue is going to be removed; the vertical scar technique leads to a smaller and less noticeable scar, but the chances of revisional surgery to the scar are greater than with the Wise pattern technique and the scar takes around 6 months to smooth out.
Some surgeons will use other shapes of final scar including J or L-shaped scars, or just round scars around the nipple. The best scar for your breast reduction requirement will be best determined by you and your surgeon having a full discussion about what can be done and what can’t be done with the different methods available.