Women with very large, pendulous breasts may experience a variety of medical problems caused by the excessive weight–from back and neck pain and skin irritation to skeletal deformities and breathing problems. Bra straps may leave indentations in their shoulders, and unusually large breasts can make a woman or a teenage girl feel extremely self-conscious. Breast Reduction, technically known as reduction mammaplasty, is designed for such women. The procedure removes fat, glandular tissue and skin from the breasts, making them smaller, lighter and firmer. The goal is to give the woman smaller, better shaped breasts in proportion with the rest of her body. Breast reduction is usually performed for physical relief rather than simply cosmetic improvement. Most women who have the surgery are troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort.