Reducing the size of overly large breasts may benefit both health and emotional problems. The weight of excess breast tissue can interfere with physical activity and may cause back, neck and shoulder discomfort, and may produce skin irritation beneath the breast crease. Self image issues and difficulty of fitting into clothes may be a concern.
I use a vertical breast reduction technique for my surgery on large breasts. Closure of the incisions encircle the areola, then extend vertically down from the bottom of the areola toward the breast crease, and then horizontally at the breast crease. The final size of the breast should approximate what the patient desires. Liposuction often is used for further contouring.