A woman's displeasure with her breast size is not always about aesthetics. Some women not only feel that their breasts are too large but have discomfort and physical complications because of their overly large breasts. Breast reduction surgery transforms heavy pendulous breasts into smaller and lighter versions. This transformation can also mean the end to chest, shoulder and neck pain, skin irritations, deep bra strap indentations and extreme self-consciousness that afflicts overly large breasted women and girls.

A breast reduction or reduction mammaplasty procedure consists of several incisions being made so Dr. Karlin can remove excess fatty tissue and skin, reposition the nipple to a higher position, and reshape the breast. Sometimes liposuction is used in addition to remove excess fat from the underarm area. Although there are some variations in the incision methods, the most commonly used is the anchor-shaped. The incisions made is one around the areola (circular pigmented area around the nipple), another vertically from underneath the areola to the crease under the breast, and the third horizontally along the natural contour of that crease. This method allows the diameter of the areola to be reduced; the nipple remains attached but moved to a higher position, and adequate amounts of excess tissue and skin are removed. It is rare with these modern surgical techniques to have to remove the nipple to elevate its position. The surgery can take anywhere from two to four hours.