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Thank you and congratulations on your decision to undergo #breast reduction. Many women that elect to have #mammoplasty, also will require a lift. The lift is part of the procedure at no extra cost. A #lift is necessary to ensure proper placement of the #nipples and can allow for areola reduction if needed. One thing to keep in mind is that at your age, your breasts may still be developing. Because of this, you may experience continued breast growth even after surgery. The best advise I can give you is to schedule a consultation with a Board Certified plastic surgeon who will be qualified to evaluate your current breast shape and volume. They will also be able to explain all of your options. Good luck!
Breast reduction can certainly help you, and this can be performed with a lift. However you should understand that your breasts are probably still developing and will continue to do so for the next couple of years. Please see an experienced board certified plastic surgeon for a medical consultation to find out if this is right for you. During the consultation, you'll discuss the risks associated with the procedure so you can make an informed decision.
It sounds like you would benefit from a breast reduction. When a reduction is done the breasts are lifted at the same time, ie you get both at once. Reducing your breasts so they are lighter, better shaped and more proportional to your bodys size can be very helpful in preventing future problems common with large breasts, ie back and neck pain, bra strap grooving and fungal rashes beneath your breasts.
IT sounds as if you need BOTH a breast reduction AND a lift. This will achieve an improvement in your breast shape as well as reduce the size from an E.
You seem to be an ideal candidate for a properly performed breast reduction. Breast reduction and breast lift are very similar procedures, both should result in an esthetically pleasing lifted breast. In your case, 32 E cup breasts on your size body frame will result in musculoskeletal problems. In my practice I routinely operate on patients in your age group with such presentation. The long term outcome to your health and to you breast appearance in very good. You might find it helpful to review my publication on advanced techniques in breast lift and breast reduction. Please see the web link below.