Reduction mammoplasty, or breast reduction, is a good cosmetic surgical procedure for a woman experiencing health problems and/or extreme self-consciousness associated with very large, heavy breasts. The goal is to give the woman a more attractive look with smaller, better-shaped breasts in proportion with the rest of her body. She will then benefit from freedom of health problems associated with large breasts and an improved self-image. Medical problems associated with very large breasts include back and neck pain caused from excessive weight, skin irritation, skeletal deformities and breathing problems. Bra straps may leave shoulder indentations. Large, heavy breasts also contribute to poor posture, and can interfere with normal daily activities such as exercise. Excessive breast size may also lead to a decreased sense of attractiveness and self-confidence. Breast reduction is done under general anesthesia on an outpatient basis or in the hospital. The surgery removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. After the surgery, the breasts are placed in a surgical bra that will hold them symmetrically during initial healing. The initial discomfort subsides daily and can be controlled with painkillers. Scars will fade in 6-18 months. When performed by a qualified plastic surgeon, breast reduction is a safe procedure. Nevertheless, as with any surgery, there is always a possibility of complications. Discuss this with a doctor before making your decision. If you do have this surgery, you can reduce your risks of side effects by closely following your physician's advice both before and after surgery. Although your surgeon will make your scars as inconspicuous as possible, some permanent scarring is inevitable. Smokers are more likely to experience poor healing and wider scars. The good news is, your bra or bathing suit will cover whatever scars remain, and most likely, the scars will not prevent you from wearing low-cut tops. After recovery, life will go on as before.