Surgical procedure to decrease breast size. It is a surgical treatment designed to overcome a number of problems caused by excessively large and pendulous breasts. The operation is designed to reduce, uplift and firm the breasts. It involves the reduction of breast volume, removal of the breast tissue and the restoration of a normal contour consistent with the patient's skeletal proportions to give a natural appearance. It also involves the repositioning of the nipple to a level consistent with the new breast shape. Results are very good.