Breast reduction to correct overlarge, sagging breasts is normally classified as a reconstructive procedure. Oversize breasts interfere with normal function and physical activity by causing back pain, postural problems deformities of the back and shoulders, skin rashes under the breasts and breast pain. However, plastic surgeons also view breast reduction surgery as an operation with an important aesthetic component; in addition to alleviating physical problems, it can improve the shape of the breasts and nipple areas. Breast reduction also can enhance the overall appearance by making the breasts more proportional to the rest of the body.
   This surgical procedure involves removing excess breast tissue and skin, repositioning the nipple and areola (the pigmented skin surrounding the nipple) and reshaping the remaining breast tissue using a variety of techniques.
   The operation requires a general anesthetic, and may be performed on an outpatient basis during a brief hospital stay. Although your surgeon will make every effort to minimize incisions, the scars from the breast reduction surgery are visible in the lower portion of the breast and around the areola. Variations in the placement of incisions, different from the technique illustrated to the right, may be possible in some cases.
   After surgery, the breasts may be wrapped in gauze or placed in a surgical bra. You will have to wear a supportive bra for several weeks to promote healing. Loss of sensation of the nipples and breast skin is possible but may improve gradually. You should avoid strenuous exercise and overhead lifting for several weeks after surgery. Usually only dissolvable stitches are used.

Oaxaca is a state in southeastern Mexico, populated by a number of Indian sects. Dr. Worland founded Medford Surgical Missions as a nonprofit medical service organization, to provide charitable medical care for the people of this region.
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