Thank you for the question. Breast reduction surgery is one of the most patient pleasing operations we perform. By removing “excess” breast tissue, adipose tissue, and breast skin this operation reduces AND lifts the breasts to a higher position on the chest wall (in other words, the breasts are "automatically" lifted when a breast reduction is performed). By doing so, patients often find improvement in neck, back, and shoulder discomfort and find it easier to form their activities of daily living and exercise. When the time is right, seek consultation with well-trained/experienced board-certified plastic surgeons. Ask to see lots of examples of their work and communicate your goals clearly. Best NOT to communicate your goals in terms of achieving a specific cup size; this type of communication can be a source of miscommunication. In my practice, I prefer the use of goal pictures during this communication phase; many patients wish to remove enough breast tissue to improve/alleviate symptoms while maintaining upper/lower body proportionality. You will find, as you do your research, that there are a variety of different “methods” or techniques that include the use of drains (or not)… Best NOT to use the specific stitch or drain protocol as the main criteria in selecting your plastic surgeon. I hope this, and the attached link (dedicated to breast reduction surgery concerns), helps. Best wishes.