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Can I get perky boobs with a breast reduction? (photos)

Cheerful616857
I am 23 and doctor recommended a mastoplasty and said I don't need a reduction but after losing 75 pounds they are even more saggier and still feel heavy. My goal is to get a breast reduction with a horizontal cut instead of the vertical down the middle. I scar way too bad to commit to the scar down the middle if there are other options. I have seen it on a few very big breasted women but I'm not sure what the best option is for me with scaring and wanting a nice lift, Im 125 pounds

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