Hello and thank you for your question. You are a great candidate for a breast reduction. The incision type, surgical technique, and other details of your surgery is based on your desired versus existing breast size and shape, your chest wall measurements, and soft tissue quality. The no-vertical-incision breast reduction technique is a specific type of breast reduction / lift that many surgeons use infrequently, if at all. As with all specialized surgical techniques, proper patient selection is critical to success. The decision to have this surgery should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon. Good luck! Best, Jon Ver Halen, MD FACS