Wise pattern breast reduction. | 62 yo with extremely pendulous and large breasts status post weight loss – she underwent standard reduction pattern with an anchor incision. Note excellent healing of scars, overall shape, symmetry and proportion. Also of important surgical side note here is the fact that the nipple areolar complex with its blood supply was preserved with very careful dissection despite the long distance in nipple elevation and breast tissue and skin excision and rearrangement without the need to do a free nipple graft where she would have had completely insensate nipples post op.