Patients who have back pain, bra strap grooving, dermatitis or feel self-conscious about their large breast size may benefit from a breast reduction procedure. The surgery involves removal of breast tissue and reshaping of the breast. I use a technique that maintains breast projection while reducing breast volume in order to produce a natural appearing breast shape after breast reduction. The size of the nipple areola complex can also be modified during this procedure highlighting the appearance of a more youthful breast.