Breast reductions are performed to reduce the size of large, sagging breasts. Most often some liposuction of the breast tails are also performed. The procedure consists of removing breast tissues from the lower portion of the breasts and elevating the nipple to a new higher position. The scars, therefore, are anchor shaped. Most patients cup sizes go down to a B or a C. The procedure is performed in a surgery center under general anesthesia and is 4-6 hours in length. Most of these patients suffer from neck pain, shoulder pain, back pain and difficulty sleeping, secondary to the heaviness of the breasts. Some insurances pay for this procedure, based on the medical necessity and the severity of the problems. The short term recovery is approximately one to two weeks. Most of the sutures dissolve and some are removed after two weeks. A sport bra is worn for one to two months. Risks and complications include infection and bleeding which are extremely rare. This procedure cannot be performed on smokers or untreated diabetics, because in rare cases, there is also a chance of gangrene of the nipple in these patients. Most patients are extremely happy with this procedure since they are relieved from a multitude of medical problems.