It is not how much is removed that is imprtant in breast reduction, but how much is left behind..... Breast reduction surgery combines elements af art with the science of medicine. I recommend to patients a goal of proportionality so that top and bottom contours are in harmony. Within the realm of "normal" final breast size is the patient's choice. In my office I have a portfolio of pre- and post-op pictures I review with prospective reduction patients. In the portfolio there is inevitably someone with the same body type so the prospective patient can see what types of results are possible. Reviewing a surgeon's portfolio is probably the best way to be sure doctor and patient are on the same page.