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Breasts of any size can be reduced using the vertical scar technique. In fact the technique is very safe even in big breasts. Risk of nipple loss is very small. The reduction includes a lift as the new smaller breast is elevated to a higher position. The nipple is not removed. The breast shape takes time to settle as it is placed high in the beginning to compensate for gravity. Don't show your fiends for the fist couple of months . . . This short term investment avoids an inverted T (Anchor) scar and provides for a long lasting pert youthful breast shape. This technique has been performed hundreds of times by myself over the past 24 years.