Breast reduction is a surgical procedure to reduce and reshape large breasts.  If you have excessive breast size or macromastia (usually bra cup size D or larger), breast reduction surgery can help relieve the physical symptoms caused by the size and weight of your breasts, and your breasts will be in better proportion to the rest of your body.  There are different surgical techniques used, but in each procedure, incisions are made on the lower breast and around the nipple.  Extra breast tissue and skin are removed and the incisions are stitched up in a way that minimizes the scarring as much as possible.  Also, nipples are repositioned to higher, more youthful positions.  This can be done surgically or with liposuction or a combination of both.