Sklar's Ackerman Areola Marker is typically used in vertical mammaplasty procedures, also known as Limited Scar Breast Reduction Method. This wireform tool is used to simplify the pattern marking as part of preparation for the procedure. The Ackerman marker is available in 2 sizes, 16cm circumference and 14cm circumference. This product has a 14cm circumference and is typically used for breast lifts or smaller reductions.