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In addition to negative body image, women with excessively large breasts often experience physical discomfort such as back, neck, and shoulder pain and skin rashes. These problems may lower a woman's quality of life by impairing her ability to lead an active lifestyle. Breast reduction surgery involves the removal of excess skin and breast tissue to achieve a breast size more in proportion with the woman's body and to alleviate the discomfort associated with overly large breasts.