Most women with larger breasts experience a host of medical issues related to the size of their breasts. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Fortunately, when the excessive breast size causes functional problems, insurance will generally pay for breast reduction if more than 400 – 500 grams are removed from each breast. Of course this is dependent on your individual insurance company requirements. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Breast reduction can accomplish several things in one procedure. The surgeon can reduce the size of the breasts, make them symmetrical (same size and shape) and complete a lift. By including a lift with the procedure, your surgeon can also assure correct nipple placement and appropriate areolar size. When you reduce the size of the breast tissue, you can eliminate some of the medical complications listed above, reduce sleeping difficulties, increase your likelihood of finding clothing that fits and improve self image. Ultimately the size you choose to reduce your breast to, is up to you! The best place to start is by making an appointment with a Board Certified plastic surgeon. They can make suggestions and guide you through the process.