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When breast is very large, hypertrophic looks ugly & embracing reduction is done. It is usually sagging. By surgery excess breast & skin is removed to reposition & reshape the breast. Usually along with Breast reduction uplift is necessary.

Breast reduction, also known as reduction mammoplasty, is an operation to reduce the weight and volume of the breasts.During the procedure, fat, glandular tissue and skin are removed from the breasts, which are then reshaped and the nipples repositioned.
Breast size is determined by genes, hormones, body frame and weight. For most women, breast size is proportionate to the body, but for some women the breasts are particularly large.
Breasts are sensitive to the hormone oestrogen. They can grow during adolescence or later in life after the menopause, or because of the use of hormone replacement therapy (HRT). Some women also develop a noticeable asymmetry (difference in size or shape) between their breasts.
Breast reduction surgery can help women who are unhappy with the shape, weight or droop of their breasts by making them smaller and more lifted. However, breast size alters with body weight, so your breasts may increase in size if you put on weight or become pregnant even after surgery.

The operation
Bilateral breast reduction surgery (reduction of both breasts) takes two to four hours under general anaesthetic. You will usually need to stay in hospital for one to two nights afterwards.
There are several techniques the surgeon could use. The most appropriate method for you will depend on the size of your breasts and the desired result.
You will need to take it easy for two to six weeks while you recover from the operation, but recovery time depends on your age and general fitness. It is likely you will have sore breasts for a few weeks.
The final appearance of your breasts may not be obvious for several weeks or months after the operation.