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Bigger breasts are not in all cases beautiful, since size isn’t the only factor influencing the aesthetic of a cleavage. The shape and proportion of the breasts play a major role on their visual perception. This is where breast reduction surgery may favor women with large breasts, who also present asymmetry or sagging. Also, this surgery may be a good choice for women with big breasts who endure physical symptoms such as back, neck and shoulder pain, or discomfort while exercising. Thus, the surgery may have a cosmetic or functional goal, since it can be considered by a woman who wants to reduce the size of her breasts in order to achieve a more balanced and attractive silhouette, or it could also be considered by a woman with very large breasts who has endured chronic back pain for years.

The plastic surgeon may choose one of three different surgical techniques when performing a breast reduction, according to the patient’s needs. In some cases, only liposuction may be performed. This procedure is shorter, less invasive and no scars are left in the breasts. However, it will only achieve optimal results in some patients. There is also the vertical breast reduction, which can be performed on patients who need a moderate reduction. It consists of two incisions: one around the edge of the areola and another vertical one from the bottom of the areola to the inframammary fold. This technique allows the surgeon to remove fat, skin, breast tissue, as well as reshaping and lifting the breast. The last technique is the inverted T breast reduction and this one requires three incisions: one around the edge of the areola, another one from the areola to the inframammary fold and the last one, along the inframammary fold. This technique allows the greatest degree of tissue removal, so it may be performed when the patient requires a significant reduction or a considerable asymmetry or sagging must be corrected.

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