Depending on the magnitude of the patient’s problem, liposuction or tissue removal might be performed alone. İt is also possible to combine both techniques. Liposuction by itself is often sufficient for patients without plenty of excess skin, while surgical removal of skin and subcutaneous issues might be necessary for patients with lots of excess skin. When liposuction is used alone, it does not leave any scars on the skin. However, if the skin is also removed, operation requires a round incision over the areola, and in more serious cases, an additional reverse T or J shaped incision.